Active NPI
Hirata Pediatrics LLC
- Pediatrics Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HIRATA PEDIATRICS LLC
- Practice address
- 3196 S Maryland Pkwy Ste 208
Las Vegas, NV 89109-2313 - Phone
- (702) 796-1820
- Fax
- (702) 796-3938
- NPI assigned
- May 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keilly Rubio Avalos
- Title
- Biller
- Phone
- (702) 796-1820
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
3196 S Maryland Pkwy Ste 208
Las Vegas, NV 89109-2313
Mailing address
3196 S Maryland Pkwy Ste 208
Las Vegas, NV 89109-2313
Phone (702) 796-1820
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100509805 | Medicaid | NV |
Other names 2
- La Canada Pediatrics
- LaCanada Pediatrics
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D0969874 | La Canada Pediatrics | Certificate of waiver | Jan 27, 2028 |
National Provider Directory
National Provider DirectoryLocations
3006 S Maryland Pkwy
Ste 530
Las Vegas, NV 89109
Phone (702) 796-1820
3131 La Canada St
Ste 231
Las Vegas, NV 89169
Phone (702) 796-1820
3196 S Maryland Pkwy
Ste 208
Las Vegas, NV 89109
Phone (702) 796-1820
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1558523118
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1548424583
-
- Pediatrics Physician
- Las Vegas, NV
- NPI 1255375861
-
- Physician Assistant
- Las Vegas, NV
- NPI 1063238491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1124240817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3196 S MARYLAND PKWY STE 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092313",
"telephone_number": "702-796-1820",
"fax_number": "702-796-3938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3196 S MARYLAND PKWY STE 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891092313",
"telephone_number": "702-796-1820",
"fax_number": "702-796-3938"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIRATA PEDIATRICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-03",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "RUBIO AVALOS",
"authorized_official_first_name": "KEILLY",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "702-796-1820"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100509805",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "La Canada Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LaCanada Pediatrics",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "LaCanada Pediatrics",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.