Organization Active NPI

Tri-Star Pediatrics Services Co

Doing business as Tri-Star Pediatrics

  • Pediatrics Physician
  • Henderson, NV
National Provider Identifier
1346597903
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
10073 Issued in NV
Legal business name
TRI-STAR PEDIATRICS SERVICES CO
Doing business as
Tri-Star Pediatrics
Practice address
2510 Wigwam Pkwy
Suite 103
Henderson, NV 89074-7115
Phone
(702) 558-3551
Fax
(702) 361-0983
NPI assigned
Aug 13, 2012
Last updated
Aug 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2012

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

Authorized official

Name
Mr. Fil Quimbo Almenario
Title
Office Manager
Phone
(702) 558-3551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 10073 NV Primary

Addresses

Primary practice location

2510 Wigwam Pkwy
Suite 103
Henderson, NV 89074-7115

Mailing address

2510 Wigwam Pkwy
Suite 103
Henderson, NV 89074-7115
Phone (702) 558-3551

Other names 1

  • Tri-Star Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1071246Tri-Star Pediatrics2510 Wigwam Pkwy Ste 103, Henderson, NV 89074Certificate of waiverJul 19, 2027

National Provider Directory

National Provider Directory

Locations

2510 Wigwam Pkwy
Ste 103
Henderson, NV 89074
Phone (702) 558-3551

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6523/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1346597903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY",
            "address_2": "SUITE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747115",
            "telephone_number": "702-558-3551",
            "fax_number": "702-361-0983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 WIGWAM PKWY",
            "address_2": "SUITE 103",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747115",
            "telephone_number": "702-558-3551",
            "fax_number": "702-361-0983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STAR PEDIATRICS SERVICES CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "ALMENARIO",
        "authorized_official_first_name": "FIL",
        "authorized_official_middle_name": "QUIMBO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "702-558-3551",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "10073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tri-Star Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.