Active NPI
Taryn Noel Perez, PAC
- Physician Assistant
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA2910
- Practice address
- 1500 E 2ND St Ste 206
Reno, NV 89502-1198 - Phone
- (775) 982-5000
- Fax
- (775) 982-3900
- NPI assigned
- Jan 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA2910 | NV | Primary |
Addresses
Primary practice location
1500 E 2ND St Ste 206
Reno, NV 89502-1198
Mailing address
1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA2910 | Other | NV | PAC NEVADA |
| 16085470 | Other | NV | CAQH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of Nevada School of Medicine, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10101 Double R Blvd
Reno, NV 89521-5931
Phone (775) 982-7878
10201 Double R Blvd
Reno, NV 89521-6091
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA2910 | NV | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Services LLC | Physician Assistant | Current | Accepting new patients |
| Community Care Services LLC | Current | Accepting new patients | |
| Community Care Services LLC | Past | Accepting new patients |
Locations
1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970
1500 E 2nd St
Ste 206
Reno, NV 89502
Phone (775) 789-7000
10201 Double R Blvd
Ste 315
Reno, NV 89521
Phone (775) 982-3443
10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860
Interoperability endpoints
- tperez188988@direct.renown.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Reno, NV
- NPI 1720031768
-
- Diagnostic Radiology Physician
- Reno, NV
- NPI 1053272989
-
- Endocrinology, Diabetes & Metabolism Physician
- Reno, NV
- NPI 1699246124
Physician Assistant
-
- Obstetrics & Gynecology Physician
- Reno, NV
- NPI 1982088274
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1124098421
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1932517299
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1641081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1043971161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262",
"fax_number": "775-982-5496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E 2ND ST STE 206",
"city": "RENO",
"state": "NV",
"postal_code": "895021198",
"telephone_number": "775-982-5000",
"fax_number": "775-982-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "TARYN",
"middle_name": "NOEL",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-02",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA2910",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PAC NEVADA",
"identifier": "PA2910",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "16085470",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.