Nasa Pediatrics, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

J5879 Issued in TX

Legal business name

NASA PEDIATRICS, PLLC

Practice address

4014 Woodlawn Ave
Suite a
Pasadena, TX 77504

Phone

(713) 239-0980

Fax

(281) 464-3832

NPI assigned

Sep 24, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Idalia R Rivera, M.D

Title

President

Phone

(281) 464-3780

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Nasa Pediatrics Texas City PLLC

  • Pediatrics Physician
  • Texas City, TX
  • NPI 1295298578
  NPPES parent name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462838400000",
    "number": "1235508805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 890004",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77289",
            "telephone_number": "713-239-0980",
            "fax_number": "281-464-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4014 WOODLAWN AVE",
            "address_2": "SUITE A",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "77504",
            "telephone_number": "713-239-0980",
            "fax_number": "281-464-3832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASA PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-05-10",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "IDALIA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-464-3780",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J5879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2130981",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• My Little Angels Pediatrics, Inc
• Tiffany Michelle Myers-Martinez
• N & D Drugs Inc
• Nabeel H Romman MD PA
• Katherine Marie Naeger, MD
• Connie Jean Naseri, LPC
• Lisa Nassif Wright, MD
• George Michael Nassif, M.D.
• National Vision Inc
• National Vision, Inc.

• Specialist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.

Verify at the official NPI Registry.