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SUSAN R FERNANDEZ PC NPI 1346374238


NPI Information

NPI: 1346374238
Provider Name: SUSAN R FERNANDEZ PC

Doing Business As: HORIZON RIDGE PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 29D2095095

Address:
2621 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
ZIP 89052
Phone: (702) 263-1908
Get Directions

SUSAN R FERNANDEZ PC is a pediatrics in Henderson, 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. SUSAN R FERNANDEZ PC NPI is 1346374238. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Horizon Ridge Pediatrics.

The provider's business location address is:

2621 W HORIZON RIDGE PKWY STE 100
HENDERSON, NV
ZIP 89052-895
Phone: (702) 263-1908
Fax: (702) 263-0195

The provider's authorized official is Rose T San Jose .
The authorized official title is Office Manager and has the following contact phone number (702) 263-1908.

The CLIA number assigned to this NPI record is 29D2095095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 6/19/2008.


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
1208000000XPediatricsYes

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
1H37410MEDICARE UPINNEVADA
2002018477MEDICAIDNEVADA

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: 11/14/2023

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