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SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC
NPI 1093230138
Clinic/Center - Primary Care in Las Vegas, NV

Active since August 10, 2017
3301 W CHARLESTON BLVD, LAS VEGAS, NV 89102(702) 968-0100(702) 968-0104 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Aug 10, 2017 (2 updates tracked since 2017).

About Southern Nevada Medical & Pediatrics Associates Llc NPPES

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

SOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC (NPI 1093230138) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since August 2017. The organization lists Camilo Tabora, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1093230138
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSOUTHERN NEVADA MEDICAL & PEDIATRICS ASSOCIATES LLC
Location Address3301 W CHARLESTON BLVDLas Vegas, NV 89102-1835
Mailing Address3301 W Charleston BlvdLas Vegas, NV 89102-1835 · (702) 968-0100 · Fax (702) 968-0104
Phone(702) 968-0100
Fax(702) 968-0104
Organization SubpartNo
Authorized OfficialCamilo TaboraManaging Partner · (702) 968-0100
Enumeration DateAugust 10, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093230138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NV · 9691
3301 W CHARLESTON BLVD, Las Vegas, NV 89102
Open in Google Maps ↗

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 29D1002044

Southern Nevada Medical & Pediatrics Assoc · Las Vegas, NV
Expired · Jul 25, 2026
CLIA Number29D1002044
Laboratory TypePhysician Office
Certificate Effective DateJuly 26, 2024
Certificate Expiration DateJuly 25, 2026
Laboratory DirectorMaria R. Desquitado-Tabora
Laboratory Phone(702) 968-0100
Laboratory LocationSouthern Nevada Medical & Pediatrics Assoc3301 W Charleston Blvd, Las Vegas, NV 89102
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

PRESTIGE HOPE HOME HEALTH CARE LLC
Home Health
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 505-8225
ERIC U LAZO LLC
Internal Medicine
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 968-0102
MR. ROBERTO MORENO PANGILINAN
Registered Nurse (Administrator)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 505-8225
ERIN DAVIES NP
Nurse Practitioner (Pediatrics)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 968-0100
CAMILO BERNAL TABORA JR. M.D.
Internal Medicine
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 968-0100
CORNERSTONE MEDICAL CARE, LLC
Nurse Practitioner (Primary Care)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 900-5616
PRESTIGE ELDERLY SUPPORT CARE LLC
Technician (Personal Care Attendant)
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 505-8225
MARIA DESQUITADO-TABORA MD
Pediatrics
3301 W CHARLESTON BLVD
LAS VEGAS, NV 89102
Clark County (702) 968-0100

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 Southern Nevada Medical & Pediatrics Associates LLC's NPI number?

The NPI number for Southern Nevada Medical & Pediatrics Associates LLC is 1093230138. It was assigned to this organization in the NPPES registry on August 10, 2017.

Where is Southern Nevada Medical & Pediatrics Associates LLC located?

Southern Nevada Medical & Pediatrics Associates LLC is located at 3301 W Charleston Blvd, Las Vegas, NV 89102. The listed phone number is (702) 968-0100.

What is Southern Nevada Medical & Pediatrics Associates LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

What insurance does Southern Nevada Medical & Pediatrics Associates LLC accept?

Health plans from Ambetter from Arizona Complete Health list Southern Nevada Medical & Pediatrics Associates 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 Southern Nevada Medical & Pediatrics Associates LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.