Active NPI
Ronda Adham Zulich, M.D.
- Pediatrics Physician
- Las Vegas, NV
National Provider Identifier
1376688481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A97521
- Practice address
- 2050 Mariner Dr Ste 150
Las Vegas, NV 89128-6656 - Phone
- (702) 850-5437
- Fax
- (702) 850-7337
- NPI assigned
- Feb 20, 2007
- Last updated
- May 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 16810 | NV | |
| Pediatrics Physician | 208000000X | 9066314-1205 | UT | |
| Pediatrics Physician | 208000000X | 9066314-8905 | UT | |
| Pediatrics Physician | 208000000X | A97521 | CA | Primary |
Addresses
Primary practice location
2050 Mariner Dr Ste 150
Las Vegas, NV 89128-6656
Mailing address
2050 Mariner Dr Ste 150
Las Vegas, NV 89128-6656
Phone (702) 850-5437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376688481 | Medicaid | NV |
Other names 1
- Ronda Adham Zulich
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.snpclasvegas.com | ||
| Other URL | www.southernevadapediatriccenter.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 16810 | NV | MD | Pediatrics Physician |
| 9066314-1205 | UT | MD | Pediatrics Physician |
| 9066314-8905 | UT | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Mountainview Hospital, Inc. | Past | Accepting new patients | |
| Spring Valley Medical Center | Past | Accepting new patients | |
| Centennial Hills Hospital Medical Center | Past | Accepting new patients | |
| Summerlin Hospital Medical Center L L C | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1801364252
-
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1487771812
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- General Acute Care Hospital
- Las Vegas, NV
- NPI 1346230323
-
dba Summerlin Hospital Medical Center
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1831189638
-
dba Mountainview Hospital
- General Acute Care Hospital
- Las Vegas, NV
- NPI 1104870187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651536000000",
"number": "1376688481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2050 MARINER DR STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286656",
"telephone_number": "702-850-5437",
"fax_number": "702-850-7337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 MARINER DR STE 150",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891286656",
"telephone_number": "702-850-5437",
"fax_number": "702-850-7337"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZULICH",
"first_name": "RONDA",
"middle_name": "ADHAM",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2022-05-03",
"certification_date": "2022-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NV",
"license": "16810",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "9066314-1205",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "UT",
"license": "9066314-8905",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A97521",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1376688481",
"state": "NV"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.snpclasvegas.com",
"affiliation": "N",
"address_1": "2050 Mariner Dr Ste 150",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891286656",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "www.southernevadapediatriccenter.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "2050 Mariner Dr Ste 150",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891286656",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RONDA",
"last_name": "ZULICH",
"middle_name": "ADHAM",
"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 May 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.