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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

HIRATA PEDIATRICS LLC
NPI 1124240817
Pediatrics in Las Vegas, NV

Active since May 03, 2007CLIA 29D0969874 · Waiver
3196 S MARYLAND PKWY STE 208, LAS VEGAS, NV 89109(702) 796-1820(702) 796-3938 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 29, 2026, Aug 22, 2020 (2 updates tracked since 2020).

About Hirata Pediatrics Llc NPPES

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

HIRATA PEDIATRICS LLC (NPI 1124240817), doing business as La Canada Pediatrics, is a healthcare organization registered as a pediatrics in Las Vegas, Nevada and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 27, 2028 and lists Keilly Rubio Avalos, Biller, as its authorized official.

NPPES Registry Identity

NPI1124240817
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameHIRATA PEDIATRICS LLC
Location Address3196 S MARYLAND PKWY STE 208Las Vegas, NV 89109-2313
Mailing Address3196 S Maryland Pkwy Ste 208Las Vegas, NV 89109-2313 · (702) 796-1820 · Fax (702) 796-3938
Phone(702) 796-1820
Fax(702) 796-3938
Organization SubpartNo
Authorized OfficialKeilly Rubio AvalosBiller · (702) 796-1820
Enumeration DateMay 3, 2007
Last NPPES UpdateJuly 29, 20262 updates tracked since enumeration
NPPES CertifiedJuly 29, 2026
✔ NPI 1124240817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
3196 S MARYLAND PKWY STE 208, Las Vegas, NV 89109
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Other Names 2

Doing Business AsLa Canada Pediatrics
Doing Business AsLacanada Pediatrics

Other Identifiers 1

Medicaid100509805NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 29D0969874

La Canada Pediatrics · Las Vegas, NV
Active · expires Jan 27, 2028
CLIA Number29D0969874
Laboratory TypePhysician Office
Certificate Effective DateJanuary 28, 2026
Certificate Expiration DateJanuary 27, 2028
Laboratory DirectorSusan Hirata
Laboratory Phone(702) 796-1820
Laboratory LocationLa Canada Pediatrics3196 S Maryland Pkwy Ste 208, Las Vegas, NV 89109
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 2

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

MADISON RAE MONTY
Physician Assistant
3196 S MARYLAND PKWY STE 208
LAS VEGAS, NV 89109
Clark County (702) 796-1820
SUSAN REIKO HIRATA MD
Pediatrics
3196 S MARYLAND PKWY STE 208
LAS VEGAS, NV 89109
Clark County (702) 796-1820

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 Hirata Pediatrics LLC's NPI number?

The NPI number for Hirata Pediatrics LLC is 1124240817. It was assigned to this organization in the NPPES registry on May 3, 2007. The provider is doing business as La Canada Pediatrics and LaCanada Pediatrics.

Where is Hirata Pediatrics LLC located?

Hirata Pediatrics LLC is located at 3196 S Maryland Pkwy Ste 208, Las Vegas, NV 89109. The listed phone number is (702) 796-1820.

What is Hirata Pediatrics LLC's specialty?

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

Does Hirata Pediatrics LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D0969874) is associated with this NPI, valid through January 27, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Hirata Pediatrics LLC accept?

Health plans from Ambetter from Arizona Complete Health list Hirata Pediatrics 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 Hirata Pediatrics LLC was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.