Individual provider Active NPI

Christian T. Purgason, D.O. FACEP

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1093851529
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DO1397 Issued in NV
Practice address
1155 Mill St
Mail Code Z-11
Reno, NV 89502-1576
Phone
(775) 324-4040
Fax
(775) 324-4042
NPI assigned
Jan 30, 2007
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20A9340 CA
Emergency Medicine Physician 207P00000X DO1397 NV Primary

Addresses

Primary practice location

1155 Mill St
Mail Code Z-11
Reno, NV 89502-1576

Mailing address

15473 Kent Dr
Truckee, CA 96161-1266
Phone (530) 587-3480

Other identifiers 2

IdentifierTypeStateIssuer
DO1397OtherNVNEVADA OSTEOPATHIC MEDICAL LICENSE
20A9340OtherCAOSTEOPOATHIC PHYSICIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070530000201 CA Practitioner - Emergency Medicine 3678670551 Reassigns benefits to 2 organizations
I20081104000157 NV Practitioner - Emergency Medicine 3678670551 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brown Calvanese Cameron LTDGroup PAC ID 3577468347, 43 clinicians

Practice addresses (Care Compare)

1155 Mill St
MCZ 11
Reno, NV 89502-1576
Phone (775) 324-4040

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A9340CAMDEmergency Medicine Physician
DO1397NVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine CurrentSince Nov 22, 2013 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Nov 22, 2013 Accepting new patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 1, 2013 Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

2104 N Village Dr
Ste L
Truckee, CA 96161
Phone (530) 582-6594

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

1155 Mill St
#11
Reno, NV 89502
Phone (775) 327-5174

1155 Mill St
#Z11
Reno, NV 89502
Phone (775) 324-4040

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1093851529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15473 KENT DR",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961611266",
            "telephone_number": "530-587-3480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "address_2": "MAIL CODE Z-11",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-324-4040",
            "fax_number": "775-324-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURGASON",
        "first_name": "CHRISTIAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "D.O. FACEP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A9340",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "DO1397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA OSTEOPATHIC MEDICAL LICENSE",
            "identifier": "DO1397",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSTEOPOATHIC PHYSICIAN",
            "identifier": "20A9340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.