Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sta Maria Pediatric Clinic LLC

Organization Pediatrics Physician · NPI 1104244011

Sta Maria Pediatric Clinic LLC provides Pediatrics Physician services in Las Vegas, Nevada. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

730 N Eastern Ave Ste 100
Las Vegas, NV 89101-2885 Not confirmed with CMS for 12 years — call before visiting
Phone: (702) 388-4428
Fax: (702) 388-4312
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1104244011
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Teresita Melocoton — Manager · (702) 388-4428
NPI enumeratedMarch 29, 2014
Last updated in NPPESApril 8, 2014
Mailing address3100 W Charleston Blvd, Ste 210, Las Vegas, NV 89102-1900

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