NPIMap

Individual provider Active NPI

Jeanette Galicinao Tolentino, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1194725358
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
11843 Issued in NV
Practice address
3087 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3754
Phone
(702) 463-1011
Fax
(702) 463-1219
NPI assigned
Jul 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 11843 NV Primary

Addresses

Primary practice location

3087 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3754

Mailing address

3087 E Warm Springs Rd Ste 200
Las Vegas, NV 89120-3754
Phone (702) 463-1011

Other names 1

  • Jeanette Galicinao Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11843NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Sedation Specialists, PC Pediatric Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Clark Pediatrics McCourt, PLLC Past Accepting new patients
Pediatric Emergency Specialists, PC Pediatric Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Clark Umc McCourt PLLC Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1194725358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 E WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203754",
            "telephone_number": "702-463-1011",
            "fax_number": "702-463-1219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3087 E WARM SPRINGS RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203754",
            "telephone_number": "702-463-1011",
            "fax_number": "702-463-1219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "JEANETTE",
        "middle_name": "GALICINAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "11843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANETTE",
            "last_name": "GALICINAO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2025; 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.