Individual provider Active NPI

Alyssa Nishihira, PAC

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1265880637
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone
(775) 993-9292
Fax
(775) 993-9293
NPI assigned
May 26, 2016
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NV Primary

Addresses

Primary practice location

5448 Reno Corporate Dr
Reno, NV 89511-2620

Mailing address

5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone (775) 993-9292

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160826002370 NV Practitioner - Physician Assistant 5991090193 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mariko C Rajamand PLLCGroup PAC ID 4385016435, 8 clinicians

Practice addresses (Care Compare)

5448 Reno Corporate Dr
Reno, NV 89511-2620
Phone (775) 993-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1265880637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112620",
            "telephone_number": "775-993-9292",
            "fax_number": "775-993-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 RENO CORPORATE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112620",
            "telephone_number": "775-993-9292",
            "fax_number": "775-993-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISHIHIRA",
        "first_name": "ALYSSA",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.