Mama Mia Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

MAMA MIA PEDIATRICS, LLC

Practice address

1250 S Eastern Ave
Las Vegas, NV 89104-2052

Phone

(702) 383-4001

Fax

(702) 383-4004

NPI assigned

Nov 9, 2017

Organization subpart

Yes

Parent organization

MAMA MIA PEDIATRICS, LLCAs reported in NPPES

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

Authorized official

Name

Gabriel P Carpo, M.D.

Title

Owner

Phone

(702) 596-2293

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Mama Mia Pediatrics LLC2 organizations share this tax ID, including this one

Part of

Mama Mia Pediatrics LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mama Mia Pediatrics LLC

  • Pediatrics Physician
  • North Las Vegas, NV
  • NPI 1891096343
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Mama Mia Pediatrics LLC

  • Pediatrics Physician
  • North Las Vegas, NV
  • NPI 1891096343
  NPPES parent name

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510185600000",
    "number": "1487167623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042052",
            "telephone_number": "702-383-4001",
            "fax_number": "702-383-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042052",
            "telephone_number": "702-383-4001",
            "fax_number": "702-383-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAMA MIA PEDIATRICS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MAMA MIA PEDIATRICS, LLC",
        "enumeration_date": "2017-11-09",
        "last_updated": "2017-11-09",
        "status": "A",
        "authorized_official_last_name": "CARPO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-596-2293",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malwinder Sidhu MD PC
• Mam Medical Supply Inc.
• Mama Dukes Healthcare Services LLC
• Mama Home Care, LLC
• Mama Home Care, LLC
• Allan Mamaclay
• Sylah Reah Alcantara Mamaclay
• Kelly Andrea Mamakas
• Chloe Mamales
• Renella Mamangon, RN

• Pediatrics Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Pediatrics Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.