Lake Mead Pediatrics, LLC.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

LAKE MEAD PEDIATRICS, LLC.

Practice address

129 W Lake Mead Pkwy Ste 10
Henderson, NV 89015-7055

Phone

(702) 489-5748

Fax

(702) 489-5774

NPI assigned

Jan 17, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Maria Teresita Zagala, MD

Title

President

Phone

(702) 489-5748

Specialties & licenses 1

Addresses

Other names 1

• L. MEAD PEDIATRIC CENTER Doing business as

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Dorothea Phelps, NP-C

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1801367941
  NPD (past)
• Maria Teresita Maclan Zagala, MD

  • Pediatrics Physician
  • Henderson, NV
  • NPI 1891704680
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547683200000",
    "number": "1073087581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY STE 10",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-489-5748",
            "fax_number": "702-489-5774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 W LAKE MEAD PKWY STE 10",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890157055",
            "telephone_number": "702-489-5748",
            "fax_number": "702-489-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE MEAD PEDIATRICS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-01-17",
        "status": "A",
        "authorized_official_last_name": "ZAGALA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "TERESITA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-489-5748",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "L. MEAD PEDIATRIC CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shira Lahiani
• Allen Lai
• Linhchi Lai, DO
• Laila Batts
• Kathleen Laintz
• Priya Deepshika Lal
• A. O'Tayo Lalude, M.D.
• Andrew Stephen Lamb
• Sharon Lambert
• Irene Lambiris, M.D.

• Pediatrics Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.