Rey Agatep, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

DO2818 Issued in NV

Practice address

10121 Pine Ave
Truckee, CA 96161-4856

Phone

(530) 582-6627

NPI assigned

Jun 6, 2014

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rey.agatep@398008301912068.direct.elationemr.com

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.

• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Reno, NV
  • NPI 1326162710
  Medicare reassignment NPD
• Community Health Alliance

  • Federally Qualified Health Center (FQHC)
  • Sparks, NV
  • NPI 1568828085
  NPD
• Community Health Alliance

  • Pharmacy
  • Sun Valley, NV
  • NPI 1720728298
  NPD
• Mt Grant General Hospital

  • Critical Access Hospital
  • Hawthorne, NV
  • NPI 1801844527
  NPD (past)
• Prime Healthcare Services - Reno LLC

  dba Saint Mary's Regional Medical Center

  • General Acute Care Hospital
  • Reno, NV
  • NPI 1801152566
  NPD (past)
• Sparks Family Hospital Inc

  dba Northern Nevada Medical Center

  • General Acute Care Hospital
  • Sparks, NV
  • NPI 1548250582
  NPD (past)

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

{
    "created_epoch": "1402012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1174936207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10121 PINE AVE",
            "city": "TRUCKEE",
            "state": "CA",
            "postal_code": "961614856",
            "telephone_number": "530-582-6627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6350 Mae Anne Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895234718",
            "country_code": "US",
            "telephone_number": "775-624-6350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Huebner Rd",
            "address_purpose": "LOCATION",
            "city": "Ft Riley",
            "state": "KS",
            "postal_code": "664424030",
            "country_code": "US",
            "telephone_number": "785-240-7055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Jarrett White Rd",
            "address_2": "Tripler Army Medical Center",
            "address_purpose": "LOCATION",
            "city": "Tripler Army Medical Center",
            "state": "HI",
            "postal_code": "968595001",
            "country_code": "US",
            "telephone_number": "808-433-6345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1055 S Wells Ave",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895022550",
            "country_code": "US",
            "telephone_number": "775-329-6300",
            "fax_number": "775-870-4686",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGATEP",
        "first_name": "REY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-06",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "OP60666398",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "DO2818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250014612",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "V76770",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana Maria Accinelli, M.D.
• Scott L. Adam
• Porscha Karman Adams, PA-C
• Sarissa Joy Adams, MS, LPC, LMHC, CCM
• Alar Saaremets, M.D., Inc
• Jared Alden, M.S. PSYCHOLOGY
• Anna Aldridge, ATC, LAT
• Alison Ganong MD PC (Tahoe Regenerative Sports Medicine)
• All Star Transportation

• Pediatrics Physician in Truckee, CA
• Providers in Truckee, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.