RICARDO FONTILLAS MD – NPI #1043424443
Psychiatry & Neurology

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Health Care Provider Taxonomy Code for Psychiatry & Neurology

RICARDO FONTILLAS MD is a psychiatry & neurologist located in HENDERSON, NV. NPPES has assigned the NPI number 1043424443 to RICARDO FONTILLAS MD on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “RICARDO FONTILLAS MD” is a dba name, the actual legal business name for this organization is RICO FONTILLAS INC. The primary taxonomy selected by this provider is 2084P0804X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry

The NPI profile was previously updated about 19 years ago on Nov 30, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for RICARDO FONTILLAS MD below.

NPI Profile for
RICO FONTILLAS INC

NPI Number
1043424443
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RICO FONTILLAS INC
Doing Business As (dba): RICARDO FONTILLAS MD
Primary location
1090 WIGWAM PARKWAY
#100
HENDERSON, NV 89074
Phone: (702) 454-0201 Fax: (702) 454-1245
Mailing address
Same as primary location
Organization Subpart
Yes - RICARDO FONTILLAS MD is subpart of another organization.
Authorized Official
RICO FONTILLAS
OWNER
Phone: (702) 454-0201
Updated
Identifiers

Identifiers for RICARDO FONTILLAS MD

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV002019612
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084P0804X
- Psychiatry & Neurology / Child & Adolescent Psychiatry (Primary)		 NV 6501

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.