Southern Nevada Pediatric Center (Zulich), PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SOUTHERN NEVADA PEDIATRIC CENTER (ZULICH), PLLC

Practice address

2050 Mariner Dr Ste 150
Las Vegas, NV 89128-6656

Phone

(702) 850-5437

Fax

(702) 850-7337

NPI assigned

Nov 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Ronda Zulich, MD

Title

Manager

Phone

(702) 850-5437

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1541289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1801364252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 MARINER DR STE 150",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286656",
            "telephone_number": "702-850-5437",
            "fax_number": "702-850-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN NEVADA PEDIATRIC CENTER (ZULICH), PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-04",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "ZULICH",
        "authorized_official_first_name": "RONDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-850-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801364252",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.southernnevadapediatriccenter.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Information",
            "address_1": "2050 Mariner Dr Ste 150",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891286656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Southern Nevada Medical & Pediatrics Associates LLC
• Southern Nevada Medical Group, PC
• Southern Nevada Orthodontics, LLC
• Southern Nevada Oxygen, Inc.
• Southern Nevada Pain Center Kim PC
• Southern Nevada Physicians
• Southern Nevada Physicians LLP
• Southern Nevada Psychological Services
• Southern Nevada Sleep Clinic LLC
• Southern Nevada Specialty Prada, PLLC

• 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 May 3, 2022; 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.