Covenant Advanced Primary Care Solutions

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

COVENANT ADVANCED PRIMARY CARE SOLUTIONS

Doing business as

Covenantcare Family & Urgent Care

Practice address

152 Catherine LN Ste F
Grass Valley, CA 95945-5756

Phone

(888) 966-2398

Fax

(888) 966-2398

NPI assigned

Dec 31, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Scott W Perrenod, DNP

Title

Ceo

Phone

(888) 966-2398

Specialties & licenses 4

Addresses

Other names 1

• Covenantcare Family & Urgent Care Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Autumn Kari Konz, PA-C, MPH

  • Medical Physician Assistant
  • Durham, NC
  • NPI 1831527191
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548288000000",
    "number": "1265820054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S VIRGINIA ST STE 800",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895012409",
            "telephone_number": "888-966-2398",
            "fax_number": "889-662-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 CATHERINE LN STE F",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455756",
            "telephone_number": "888-966-2398",
            "fax_number": "888-966-2398"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11386 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Penn Valley",
            "state": "CA",
            "postal_code": "959469000",
            "country_code": "US",
            "telephone_number": "888-966-2398 x2",
            "fax_number": "888-966-2398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COVENANT ADVANCED PRIMARY CARE SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-31",
        "last_updated": "2019-01-24",
        "status": "A",
        "authorized_official_last_name": "PERRENOD",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-966-2398",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenantcare Family & Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher T Cota, DC
• Richard Cottrell
• Christen Rachelle Counts
• County of Nevada (Nevada County Public Health)
• County of Nevada
• Covenant Advanced Primary Care Solutions (Covenant Famiy & Urgent Care)
• Jeffrey Scott Cowen
• Valerie Elise Cowen
• Cheryl Elaine Cox, PT
• Clyde Wesley Cox

• Adult Medicine Physician in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; 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.