NPIMap

Individual provider Active NPI

Jalet Marie N Ontanillas, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1992995021
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
12425 Issued in NV
Practice address
8352 W Warm Springs Dr. #210
Las Vegas, NV 89113-3630
Phone
(702) 944-4028
Fax
(702) 944-4019
NPI assigned
Jul 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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 12425 NV Primary

Addresses

Primary practice location

8352 W Warm Springs Dr. #210
Las Vegas, NV 89113-3630

Mailing address

8352 W Warm Springs Rd Ste 210
Las Vegas, NV 89113-3630
Phone (702) 944-4028

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12425NVMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Dignity Health Past Accepting new patients
Mama Mia Pediatrics LLC Pediatrics Past Accepting new patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Nevada Children's Clinic Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413158400000",
    "number": "1992995021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS RD STE 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133630",
            "telephone_number": "702-944-4028",
            "fax_number": "702-944-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8352 W WARM SPRINGS DR. #210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891133630",
            "telephone_number": "702-944-4028",
            "fax_number": "702-944-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONTANILLAS",
        "first_name": "JALET MARIE",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-25",
        "last_updated": "2014-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "12425",
            "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 Oct 13, 2014; 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.