Active NPI
Carla Chong, PA
- Medical Physician Assistant
- Reno, NV
National Provider Identifier
1114228517
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA1241
- Practice address
- 9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842 - Phone
- (775) 348-8800
- Fax
- (833) 687-1419
- NPI assigned
- Nov 16, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1241 | NV | |
| Medical Physician Assistant | 363AM0700X | PA1241 | NV | Primary |
Addresses
Primary practice location
9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842
Mailing address
5310 Kietzke LN Ste 104
Reno, NV 89511-2043
Phone (775) 348-8800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114228517 | Medicaid | NV |
Other names 1
- Carla Cordova-Eduave
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
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marshall Medical Center
Practice addresses (Care Compare)
10381 Double R Blvd
Reno, NV 89521-5991
Phone (775) 348-8800
1470 Medical Pkwy
Suite 220
Carson City, NV 89703-4647
Phone (775) 348-8800
2874 N Carson St
Suite 123
Carson City, NV 89706-1681
Phone (775) 783-6190
4201 Town Ctr Blvd
BLDG D
El Dorado Hills, CA 95762-7100
Phone (916) 905-6378
7700 Rancharrah Pkwy
Suite 100
Reno, NV 89511-7659
Phone (775) 348-8800
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.29 of 100
- Quality
- 88.02
- Improvement activities
- 40
- Cost
- 63.61
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.71 of 100
- Quality
- 81.42
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Physician Assistant
Interoperability endpoints
- carla.cordova-eduave.1@22724.direct.athenahealth.com
- carla.cordovaeduave.p1@direct.nevadahealthcenters.nextgenshare.com
Organizations & group practices 1
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.
-
- Specialist
- Reno, NV
- NPI 1285649608
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Reno, NV
- NPI 1720058027
-
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
- General Acute Care Hospital
- Reno, NV
- NPI 1609451327
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1114228517",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5310 KIETZKE LN STE 104",
"city": "RENO",
"state": "NV",
"postal_code": "895112043",
"telephone_number": "775-348-8800",
"fax_number": "833-687-1419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9480 DOUBLE DIAMOND PKWY STE 200",
"city": "RENO",
"state": "NV",
"postal_code": "895215842",
"telephone_number": "775-348-8800",
"fax_number": "833-687-1419"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHONG",
"first_name": "CARLA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-16",
"last_updated": "2025-03-31",
"certification_date": "2025-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NV",
"license": "PA1241",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NV",
"license": "PA1241",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114228517",
"state": "NV"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "CORDOVA-EDUAVE",
"credential": "PA",
"code": "1",
"type": "Former Name"
}
]
}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 Mar 31, 2025; 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.