OrganizationActive
Sta Maria Pediatric Clinic LLC
NPI 1104244011 · Pediatrics Physician · Las Vegas, NV
Provider details
- NPI number
- 1104244011
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Teresita Melocoton, Manager(702) 388-4428
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
730 N Eastern Ave
Ste 100
Las Vegas, NV 89101-2885
Phone: (702) 388-4428
Fax: (702) 388-4312
Street-level locationGet directions
Mailing address
3100 W Charleston Blvd
Las Vegas, NV 89102-1900
Registry dates
- Enumerated
- 2014-03-29
- Last updated
- 2014-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.