Organization Active NPI

Valley Pediatric & Specialty Center

  • Specialist
  • Las Vegas, NV
National Provider Identifier
1568892545
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
9127 Issued in NV
Legal business name
VALLEY PEDIATRIC & SPECIALTY CENTER
Practice address
3100 W Charleston Blvd
Suite 210
Las Vegas, NV 89102-2023
Phone
(702) 388-4428
Fax
(702) 388-4312
NPI assigned
Nov 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Teresita Lu Melocoton, MDNPI 1831288877
Title
Provider
Phone
(702) 388-4428

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 9127 NV Primary

Addresses

Primary practice location

3100 W Charleston Blvd
Suite 210
Las Vegas, NV 89102-2023

Mailing address

3100 W Charleston Blvd
Suite 210
Las Vegas, NV 89102-2023
Phone (702) 388-4428

National Provider Directory

National Provider Directory

Locations

3100 W Charleston Blvd
Ste 210
Las Vegas, NV 89102
Phone (702) 388-4428

2810 W Charleston Blvd
Ste 46
Las Vegas, NV 89102
Phone (702) 258-4469

709 N Eastern Ave
Las Vegas, NV 89101
Phone (702) 724-1700

1905 McDaniel St
Ste 103
North Las Vegas, NV 89030
Phone (702) 642-6402

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1568892545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022023",
            "telephone_number": "702-388-4428",
            "fax_number": "702-388-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W CHARLESTON BLVD",
            "address_2": "SUITE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891022023",
            "telephone_number": "702-388-4428",
            "fax_number": "702-388-4312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PEDIATRIC & SPECIALTY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "MELOCOTON",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_middle_name": "LU",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "702-388-4428",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NV",
            "license": "9127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 13, 2013; 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.