Grace Cano-Debelen, MD
Individual provider Active NPI Pediatrics Physician · Las Vegas, NV
NPI 1679599013 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1679599013
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 10006 (NV)
- Practice address
- 4375 S Buffalo Dr
Ste 101
Las Vegas, NV 89147 - Phone
- (702) 894-9422
- Fax
- (902) 894-9258
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Valley Medical Center | Past | Accepting new patients | |
| Healthwell Medical Group | Pediatrics | Past |
Accepting new patients |
| Southern Hills Medical Center, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 10006 | NV | Yes |
Addresses
Primary practice location
4375 S Buffalo Dr
Ste 101
Las Vegas, NV 89147
Mailing address
PO Box 82277
Las Vegas, NV 89180
Phone (702) 894-9422
Other names
- Grace Cano
Other providers in Las Vegas, NV
- Adan Cano Gandarilla
- Cano Health Nevada PLLC
- Cano Health Nevada PLLC
- Cano Health Nevada PLLC
- Cano Health Nevada, PLLC
- Ajhay Cano
- Alexis Cano
- Angy Cano
- Arleen Cano
- Cuahuatemoc Cano
All providers in Las Vegas, NV · Pediatrics Physician in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.