Provider Type Icon

SUNSHINE VALLEY HEALTH CARE-WESLEY J. ROBERTSON M.D. PROF. CORP. NPI 1164487930


NPI Information

NPI: 1164487930
Provider Name: SUNSHINE VALLEY HEALTH CARE-WESLEY J. ROBERTSON M.D. PROF. CORP.

Doing Business As: SUNSHINE VALLEY PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 29D1059472

Address:
653 N TOWN CENTER DR
SUITE 106
LAS VEGAS, NV
ZIP 89144
Phone: (702) 363-3000
Get Directions

SUNSHINE VALLEY HEALTH CARE-WESLEY J. ROBERTSON M.D. PROF. CORP. is a pediatrics in Las Vegas, NV. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. SUNSHINE VALLEY HEALTH CARE-WESLEY J. ROBERTSON M.D. PROF. CORP. NPI is 1164487930. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sunshine Valley Pediatrics.

The provider's business location address is:

653 N TOWN CENTER DR
SUITE 106
LAS VEGAS, NV
ZIP 89144-514
Phone: (702) 363-3000
Fax: (702) 363-3161

The provider's authorized official is Wesley J Robertson .
The authorized official title is President and has the following contact phone number (702) 363-3000.

The CLIA number assigned to this NPI record is 29D1059472 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2006 and was last updated on 10/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics7487NEVADAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1002019564MEDICAIDNEVADA
2100502879MEDICAIDNEVADA
3100503771MEDICAIDNEVADA
4002018144MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.