Healthcare Provider Details

I. General information

NPI: 1619890977
Provider Name (Legal Business Name): SILVERADO PEDIATRIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2405 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-2718
US

IV. Provider business mailing address

2405 W HORIZON RIDGE PKWY STE 100
HENDERSON NV
89052-2718
US

V. Phone/Fax

Practice location:
  • Phone: 702-461-6801
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA CHASE
Title or Position: PHYSICIAN
Credential: MD
Phone: 702-461-6801