Organization Active NPI

Gini Mountain Family Medicine LTD

Doing business as Mountain Family Medicine

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1053618348
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9483 Issued in NV
Legal business name
GINI MOUNTAIN FAMILY MEDICINE LTD
Doing business as
Mountain Family Medicine
Practice address
9710 S McCarran Blvd
Reno, NV 89523-9203
Phone
(775) 624-6000
Fax
(775) 624-6010
NPI assigned
Feb 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Dr. Ryan Gini, M.D.
Title
Manager
Phone
(775) 624-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 9483 NV Primary

Addresses

Primary practice location

9710 S McCarran Blvd
Reno, NV 89523-9203

Mailing address

9710 S McCarran Blvd
Reno, NV 89523-9203
Phone (775) 624-6000

Other identifiers 2

IdentifierTypeStateIssuer
DR7127OtherNVMEDICARE RR
FB379AOtherNVMEDICARE PTAN

Other names 1

  • MOUNTAIN FAMILY MEDICINE Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1298332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1053618348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9710 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-624-6000",
            "fax_number": "775-624-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9710 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895239203",
            "telephone_number": "775-624-6000",
            "fax_number": "775-624-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GINI MOUNTAIN FAMILY MEDICINE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-22",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "GINI",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-624-6000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "9483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "DR7127",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FB379A",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MOUNTAIN FAMILY MEDICINE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.