Organization Active NPI

Advanced Surgical Center Reno

  • Vascular Surgery Physician
  • Reno, NV
National Provider Identifier
1235936501
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
ADVANCED SURGICAL CENTER RENO
Practice address
236 W 6TH St Ste 400
Reno, NV 89503-4553
Phone
(775) 475-9881
Fax
(775) 870-1110
NPI assigned
Feb 25, 2025
Last updated
Feb 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Authorized official

Name
Ashnaga Yatawatta, MD
Title
Medical Director
Phone
(775) 475-9881

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X NU Primary

Addresses

Primary practice location

236 W 6TH St Ste 400
Reno, NV 89503-4553

Mailing address

236 W 6TH St Ste 400
Reno, NV 89503-4553
Phone (775) 475-9881

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740441600000",
    "number": "1235936501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034553",
            "telephone_number": "775-475-9881",
            "fax_number": "775-870-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 W 6TH ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034553",
            "telephone_number": "775-475-9881",
            "fax_number": "775-870-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED SURGICAL CENTER RENO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-25",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A",
        "authorized_official_last_name": "YATAWATTA",
        "authorized_official_first_name": "ASHNAGA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-475-9881",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 25, 2025; 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.