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NASA PEDIATRICS, PLLC
NPI 1235508805
Specialist in Pasadena, TX

Active since September 24, 2015CLIA 45D2111704 · Waiver
4014 WOODLAWN AVE, SUITE A, PASADENA, TX 77504(713) 239-0980(281) 464-3832 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nasa Pediatrics, Pllc NPPES

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

NASA PEDIATRICS, PLLC (NPI 1235508805) is a healthcare organization registered as a specialist in Pasadena, Texas and active in the NPI registry since September 2015. The organization holds a CLIA Waiver certificate valid through April 12, 2028 and lists Idalia R Rivera, President, as its authorized official.

NPPES Registry Identity

NPI1235508805
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameNASA PEDIATRICS, PLLC
Location Address4014 WOODLAWN AVE, SUITE APasadena, TX 77504
Mailing AddressP.o. Box 890004Houston, TX 77289 · (713) 239-0980 · Fax (281) 464-3832
Phone(713) 239-0980
Fax(281) 464-3832
Organization SubpartNo
Authorized OfficialIdalia R RiveraPresident · (281) 464-3780
Enumeration DateSeptember 24, 2015
Last NPPES UpdateMay 10, 2016
✔ NPI 1235508805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · J5879
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4014 WOODLAWN AVE, Pasadena, TX 77504
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Other Identifiers 1

Medicaid2130981TX

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

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 45D2111704

Nasa Pediatrics PLLC · Pasadena, TX
Active · expires Apr 12, 2028
CLIA Number45D2111704
Laboratory TypePhysician Office
Certificate Effective DateApril 13, 2026
Certificate Expiration DateApril 12, 2028
Laboratory DirectorIdalia R. Rivera-Matos
Laboratory Phone(281) 464-3780
Laboratory LocationNasa Pediatrics PLLC4014 Woodlawn Ave, Suite A, Pasadena, TX 77504
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

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

HUGO V. ORELLANA, M.D.P.A.
Psychiatry & Neurology (Neurology)
4014 WOODLAWN AVE, STE.A
PASADENA, TX 77504
Harris County (713) 946-8413

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 Nasa Pediatrics, PLLC's NPI number?

The NPI number for Nasa Pediatrics, PLLC is 1235508805. It was assigned to this organization in the NPPES registry on September 24, 2015.

Where is Nasa Pediatrics, PLLC located?

Nasa Pediatrics, PLLC is located at 4014 Woodlawn Ave Suite A, Pasadena, TX 77504. The listed phone number is (713) 239-0980.

What is Nasa Pediatrics, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Nasa Pediatrics, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2111704) is associated with this NPI, valid through April 12, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nasa Pediatrics, PLLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.