Organization Active NPI

Eastern Sierra Medical Group LLC

Doing business as Silver Springs Rural Health Centers

  • Rural Health Clinic/Center
  • Silver Springs, NV
National Provider Identifier
1316925381
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
7714RHC-0 Issued in NV
Legal business name
EASTERN SIERRA MEDICAL GROUP LLC
Doing business as
Silver Springs Rural Health Centers
Practice address
3595 US Highway 50
Silver Springs, NV 89429-9613
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
Jan 9, 2006
Last updated
Jul 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Authorized official

Name
Brett Moore
Title
Cfo Acute Care
Phone
(775) 982-6343

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU
Rural Health Clinic/Center 261QR1300X 7714RHC-0 NV Primary
Physician Assistant 363A00000X NU

Addresses

Primary practice location

3595 US Highway 50
Silver Springs, NV 89429-9613

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Other identifiers 2

IdentifierTypeStateIssuer
1316925381MedicaidNV
CJ7646OtherNVRR MEDICARE PTAN

Other names 1

  • Silver Springs Rural Health Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000427 NV Part B Supplier - Clinic/Group Practice 1759294119 Receives reassigned benefits from 35 practitioners
2 other NPIs on this enrollment
Practice locations: Silver Springs, NV
O20140204000347 NV Part A Provider - Rural Health Clinic 1759294119 Practice locations: Silver Springs, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1316925381. Details of each certification follow.

Rural health clinic certification: CCN 293962

Legal name
EASTERN SIERRA MEDICAL GROUP LLC
Doing business as
SILVER SPRINGS RURAL HEALTH CENTERS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 19, 2013
Last certification
Jul 29, 2015
Ownership / control type
1B
Organization structure
LLCProprietary
Incorporated
Dec 30, 1997 in NV
Enrollment address
3595 Hwy 50 W
Silver Springs, NV 89429

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0936423Silver Springs Rural Health Centers3595 Hwy 50 W, Silver Springs, NV 89429Certificate of waiverMar 25, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Brian E Sandoval Individual Corporate Director Mar 9, 2022
Hometown Health Management Company Organization, Reno, NV Corporation 5% Or Greater Direct Ownership Interest Mar 1, 2014 100%
Rebekah Winter Individual Corporate Officer Nov 14, 2023
W-2 Managing EmployeeCfo Medical Group Aug 10, 2021
Adam O Kramer Individual Corporate DirectorChair Aug 1, 2017
Bijel K Doshi Individual Corporate Director Mar 8, 2022
Brian F Erling Individual Corporate OfficerCfo Renown Health Nov 14, 2022
Stephanie D Lepori Individual Corporate DirectorBoard Member Apr 1, 2023
Brett Moore Individual Corporate OfficerCfo Acute Care Nov 14, 2023
Renown Health Organization, Reno, NV Non-profit 5% Or Greater Indirect Ownership Interest Mar 1, 2014 100%
Jeffrey Resnik Individual Corporate Director Feb 12, 2018
Thomas Deveny Individual Corporate Director Jan 1, 2020
Mark W Knobel Individual Corporate DirectorDirector Jan 1, 2019
Tamara Dermody Individual Corporate Director Jan 1, 2019
Kim M Pearson Individual W-2 Managing EmployeeDirector of Primary Care Mar 1, 2014
Marc W Mora Individual Corporate DirectorBoard Member Jan 12, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753833600000",
    "number": "1316925381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 US HIGHWAY 50",
            "city": "SILVER SPRINGS",
            "state": "NV",
            "postal_code": "894299613",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN SIERRA MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO ACUTE CARE",
        "authorized_official_telephone_number": "775-982-6343"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NV",
            "license": "7714RHC-0",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1316925381",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "CJ7646",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Silver Springs Rural Health Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Silver Springs Rural Health Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Silver Springs, NV

Sources for this page

Verify at the official NPI Registry.