Provider Type Icon

MAMA MIA PEDIATRICS LLC NPI 1487167623


NPI Information

NPI: 1487167623
Provider Name: MAMA MIA PEDIATRICS, LLC
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 29D2138429

Address:
1250 S EASTERN AVE
LAS VEGAS, NV
ZIP 89104
Phone: (702) 383-4001
Get Directions

MAMA MIA PEDIATRICS, LLC 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. MAMA MIA PEDIATRICS, LLC NPI is 1487167623. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1250 S EASTERN AVE
LAS VEGAS, NV
ZIP 89104-052
Phone: (702) 383-4001
Fax: (702) 383-4004

The provider's authorized official is Gabriel P Carpo .
The authorized official title is Owner and has the following contact phone number (702) 596-2293.

The CLIA number assigned to this NPI record is 29D2138429 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/9/2017 and was last updated on 11/9/2017.


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

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.