SANDRA LIPOVACA (NPI# 1003144858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003144858 |
| Entity Type | Individual |
| Full Name | SANDRA LIPOVACA |
| Credential | M.D. |
| Practice Address |
1905 Civic Center Dr North Las Vegas NV 89030-7143 |
| Mailing Address |
5701 W Charleston Blvd Suite 100 Las Vegas NV 89146-1217 |
| Practice Telephone | 7028779514 |
| Practice Fax Number | 7023123510 |
| Mailing Telephone | 7028779514 |
| Mailing Fax Number | 7023123510 |
| Enumeration Date | 2009-12-04 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 13353 | NV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | LICENSE | 13353 | 01 |
| Street Address |
1905 CIVIC CENTER DR |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-7143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245234145 | Las Vegas Kidney Clinic Inc. | Clinic/Center | 1905 Civic Center Dr, Ste 201, North Las Vegas, NV 89030-7116 | 2005-06-08 |
| 1205184801 | Bio-medical Applications of Nevada, Inc. | Clinic/Center | 1905 Civic Center Dr, Suite 201, North Las Vegas, NV 89030-7143 | 2012-08-29 |
| 1114201704 | Suraj Pratap | Pediatrics | 1905 Civic Center Dr, North Las Vegas, NV 89030-7143 | 2011-10-01 |
| 1669461455 | Ammar Wehbeh | Obstetrics & Gynecology | 1905 Civic Center Dr, North Las Vegas, NV 89030-7116 | 2005-10-14 |
| 1649268913 | Guadalupe R Dominguez | Physician Assistant | 1905 Civic Center Dr, North Las Vegas, NV 89030-7143 | 2005-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275716086 | Civic Center Pediatrics | Pediatrics | 2025 Civic Center Dr, North Las Vegas, NV 89030-6311 | 2007-12-14 |
| 1720297641 | Angela Stefan | Pediatrics | 2290 Mcdaniel St Ste 1b, North Las Vegas, NV 89030-6329 | 2007-05-21 |
| 1619092376 | Vaneeta V Kubal | Pediatrics | 3945 W Cheyenne Ave, Suite #208, North Las Vegas, NV 89032-8901 | 2007-03-20 |
| 1871675959 | Gabriel P Carpo | Pediatrics | 2315 E Cheyenne Ave Ste 100, North Las Vegas, NV 89030-8442 | 2006-10-19 |
| 1992816193 | Sotero Festin Fabella | Pediatrics | 1905 Mcdaniel St, Ste 102, North Las Vegas, NV 89030 | 2006-08-31 |
| 1124433610 | Jinsy Anne Jacob | Pediatrics | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6338 | 2014-06-24 |
| 1114201704 | Suraj Pratap | Pediatrics | 1905 Civic Center Dr, North Las Vegas, NV 89030-7143 | 2011-10-01 |
| 1891096343 | Mama Mia Pediatrics LLC | Pediatrics | 2315 E Cheyenne Ave Ste 100, North Las Vegas, NV 89030-8442 | 2010-11-14 |
| 1558523118 | Tiffiny M Grace | Pediatrics | 2225 Civic Center Dr, North Las Vegas, NV 89030-6338 | 2008-06-25 |
| 1740297878 | Tamina Mcmillan | Pediatrics | 2225 Civic Center Dr, Suite 224, North Las Vegas, NV 89030-6328 | 2006-08-02 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
Please comment or provide details below to improve the information on SANDRA LIPOVACA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.