Individual provider Active NPI

Diana Marlene Pena, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1720665359
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26113 Issued in NV
Practice address
5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878
Phone
(702) 463-4040
NPI assigned
Mar 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26113 NV Primary

Addresses

Primary practice location

5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878

Mailing address

5380 S Rainbow Blvd Ste 120
Las Vegas, NV 89118-1878
Phone (702) 463-4040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241112002514 NV Practitioner - Pediatric Medicine 9638603715 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26113NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unlv Medicine CurrentSince Oct 18, 2024 Accepting new patients
Unlv Medicine CurrentSince Oct 18, 2024 Accepting new patients

Locations

1707 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 671-2300

1524 Pinto Ln
Fl 3
Las Vegas, NV 89106
Phone (702) 944-2828

5380 S Rainbow Blvd
Ste 120
Las Vegas, NV 89118
Phone (702) 233-3444

2410 Fire Mesa St
Ste 180
Las Vegas, NV 89128
Phone (702) 202-2700

3016 W Charleston Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 780-2315

Interoperability endpoints

  • Direct secure messaging: dpenagarcia70006@valleychildrens-prd.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1616889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1720665359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181878",
            "telephone_number": "702-463-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5380 S RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181878",
            "telephone_number": "702-463-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "DIANA",
        "middle_name": "MARLENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-28",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "26113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.