Southern Nevada Medical & Pediatrics Associates LLC
NPI 1093230138 · Primary Care Clinic/Center · Las Vegas, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Southern Nevada Medical & Pediatrics Associates LLC is a Primary Care Clinic/Center organization in Las Vegas, NV (NPI 1093230138).
Provider details
- NPI number
- 1093230138
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Camilo Tabora, Managing Partner(702) 968-0100
- License
- 9691 (NV)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-08-10
- Last updated
- 2022-07-21
Frequently asked questions
- What is Southern Nevada Medical & Pediatrics Associates LLC's NPI number?
- Southern Nevada Medical & Pediatrics Associates LLC's National Provider Identifier (NPI) is 1093230138, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Nevada Medical & Pediatrics Associates LLC?
- Southern Nevada Medical & Pediatrics Associates LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Southern Nevada Medical & Pediatrics Associates LLC located?
- Southern Nevada Medical & Pediatrics Associates LLC's practice location on file with NPPES is 3301 W Charleston Blvd, Las Vegas, NV 89102-1835.
- What is Southern Nevada Medical & Pediatrics Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Nevada Medical & Pediatrics Associates LLC is (702) 968-0100.
- Does Southern Nevada Medical & Pediatrics Associates LLC accept Medicare?
- Southern Nevada Medical & Pediatrics Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Southern Nevada Medical & Pediatrics Associates LLC?
- The authorized official listed on Southern Nevada Medical & Pediatrics Associates LLC's NPPES record is Camilo Tabora, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Nevada Medical & Pediatrics Associates LLC's NPI active?
- Yes — Southern Nevada Medical & Pediatrics Associates LLC's NPI (1093230138) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.