Providence Medical Associates – Pediatrics Physician, NPI 1124029715

Providence Medical Associates is a healthcare provider. based in N las vegas, Nevada. specializing in Pediatrics Physician. The organization holds a License No. 10335 (NV). The NPI Number for Providence Medical Associates is 1124029715

Main info

Organization
Name
Providence Medical Associates
NPI
1124029715
Phone
(702) 798-1233
Address
1815 E LAKE MEAD BLVD
Authorized Official
SETH K. ADJOVU PRESIDENT/OWNER M. D.
Enumeration Date
3 August 2005
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness90
Years active:20State licenses:1Digital endpoints

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Provider Addresses for Providence Medical Associates

  • Jorge Burgos, MD, 1815, East Lake Mead Boulevard, North Las Vegas, Clark County, Nevada, 89030, United States

    SUITE 204

    N LAS VEGAS, NV 890307187

    Phone: (702) 798-1233

    Fax: (702) 531-1233

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89030)

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Reviews

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Frequently asked questions

What is Providence Medical Associates's NPI number?
Providence Medical Associates's NPI is 1124029715 — the number used across U.S. healthcare to identify this provider.
Is Providence Medical Associates shown as active in public data?
Registry records indicate Providence Medical Associates maintains an active NPI.
What expertise is attributed to Providence Medical Associates?
Providence Medical Associates's specialty line reads Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Providence Medical Associates?
Directory geography for Providence Medical Associates centers on N Las Vegas, Nevada.
When was this NPI issued?
Enumeration for Providence Medical Associates is noted as August 3, 2005 where the registry provides it.

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