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BAMBOO FAMILY CLINIC LLC
NPI 1881196012
Pediatrics in Henderson, NV

Active since March 03, 2018CLIA 29D2174652 · Waiver
98 E LAKE MEAD PKWY STE 307, HENDERSON, NV 89015(702) 433-3038(702) 949-1975 Get Directions Write a Review

NPPES record last updated: March 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bamboo Family Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAMBOO FAMILY CLINIC LLC (NPI 1881196012) is a healthcare organization registered as a pediatrics in Henderson, Nevada and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through November 4, 2027 and lists Shirley Holdeman, Owner, as its authorized official.

NPPES Registry Identity

NPI1881196012
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBAMBOO FAMILY CLINIC LLC
Location Address98 E LAKE MEAD PKWY STE 307Henderson, NV 89015-6444
Mailing AddressPo Box 13603Las Vegas, NV 89112-1603 · (702) 433-3038
Phone(702) 433-3038
Fax(702) 949-1975
Organization SubpartNo
Authorized OfficialShirley HoldemanOwner · (702) 433-3038
Enumeration DateMarch 3, 2018
✔ NPI 1881196012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
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.
Also ListedClinic/CenterTaxonomy 261Q00000X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
98 E LAKE MEAD PKWY STE 307, Henderson, NV 89015
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2174652

Bamboo Family Clinic LLC · Henderson, NV
Active · expires Nov 4, 2027
CLIA Number29D2174652
Laboratory TypePractitioner Other
Certificate Effective DateNovember 5, 2025
Certificate Expiration DateNovember 4, 2027
Laboratory DirectorJenna Lopez
Laboratory Phone(702) 483-2969
Laboratory LocationBamboo Family Clinic LLC98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARICEL RAYMUNDO LEPPALA DNP, APRN, FNP-BC
Nurse Practitioner (Family)
98 E LAKE MEAD PKWY STE 307
HENDERSON, NV 89015
Clark County (702) 280-2970
MRS. KACHIRRI GUNN PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
98 E LAKE MEAD PKWY STE 307
HENDERSON, NV 89015
Clark County (702) 433-3038
CHRISTINE T ESTEPA APRN
Family Medicine
98 E LAKE MEAD PKWY STE 307
HENDERSON, NV 89015
Clark County (702) 483-2969
HENDERSON OB/GYN LLC
Obstetrics & Gynecology
98 E LAKE MEAD PKWY STE 307, SUITE 307
HENDERSON, NV 89015
Clark County (702) 568-6108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bamboo Family Clinic LLC's NPI number?

The NPI number for Bamboo Family Clinic LLC is 1881196012. It was assigned to this organization in the NPPES registry on March 3, 2018.

Where is Bamboo Family Clinic LLC located?

Bamboo Family Clinic LLC is located at 98 E Lake Mead Pkwy Ste 307, Henderson, NV 89015. The listed phone number is (702) 433-3038.

What is Bamboo Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Bamboo Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2174652) is associated with this NPI, valid through November 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Bamboo Family Clinic LLC accept?

Health plans from Ambetter from Arizona Complete Health list Bamboo Family Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Bamboo Family Clinic LLC was last updated on March 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.