Ghaneian Pediatric Care, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

GHANEIAN PEDIATRIC CARE, INC.

Practice address

3196 S Maryland Pkwy Ste 411
Las Vegas, NV 89109-2318

Phone

(310) 561-0005

NPI assigned

Dec 17, 2019

Organization subpart

No

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

Authorized official

Name

Atousa Ghaneian, MDNPI 1104050996

Title

Owner

Phone

(702) 444-7685

Specialties & licenses 1

Addresses

Other names 1

• Healthy Kids Care at Sunrise Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Atousa Ghaneian, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1104050996
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1689212045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 411",
            "address_2": "SUNRISE MEDICAL TOWER IV",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092318",
            "telephone_number": "702-444-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 S MARYLAND PKWY STE 411",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092318",
            "telephone_number": "310-561-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GHANEIAN PEDIATRIC CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-17",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "GHANEIAN",
        "authorized_official_first_name": "ATOUSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-444-7685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy Kids Care at Sunrise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pedrum Ghaibi
• Gopal Krishna Ghaley
• Man Kumari Ghaley
• Hany F. Ghali, M.D.
• Rouben Ghambaryan
• Atousa Ghaneian, M.D.
• Catherine Ghanem, MD
• Joanna D Ghanem
• Stephanie Elena Ghanem
• Moonis Ghani

• 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 Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.