OrganizationActive
Pediatric Sub-Specialists of Nevada, LLC
NPI 1124965215 · Pediatric Cardiology Physician · Las Vegas, NV
Provider details
- NPI number
- 1124965215
- Entity type
- Organization
- Primary specialty
- Pediatric Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jonathan Plasencia, Vice President(858) 583-2169
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3131 La Canada St Ste 230
Las Vegas, NV 89169-2551
Phone: (702) 732-1290
Approximate (ZIP-level) locationGet directions
Mailing address
2000 Health Park Dr
Brentwood, TN 37027-4692
Registry dates
- Enumerated
- 2026-04-29
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.