Active NPI
Richard P. Ganchan, M.D.
- Interventional Cardiology Physician
- Reno, NV
National Provider Identifier
1336169283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- 3198
- Practice address
- 1155 Mill St
Reno, NV 89502 - Phone
- (775) 982-7878
- Fax
- (775) 982-4196
- NPI assigned
- Jul 20, 2006
- Last updated
- Aug 22, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | C40206 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | 3198 | NV | |
| Interventional Cardiology Physician | 207RI0011X | 3198 | NV | Primary |
Addresses
Primary practice location
1155 Mill St
Reno, NV 89502
Mailing address
850 Harvard Way
Reno, NV 89502-2055
Phone (775) 982-4590
Other practice location 1
1500 E 2nd St
Suite 400
Reno, NV 89502-1262
Phone (775) 982-2400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| XPY183366 | Medicaid | CA | |
| 002016415 | Medicaid | NV | |
| CC2332 | Other | NV | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3198 | NV | MD | Interventional Cardiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1534896000000",
"number": "1336169283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "850 HARVARD WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895022055",
"telephone_number": "775-982-4590",
"fax_number": "775-982-4595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1155 MILL ST",
"city": "RENO",
"state": "NV",
"postal_code": "89502",
"telephone_number": "775-982-7878",
"fax_number": "775-982-4196"
}
],
"practiceLocations": [
{
"address_1": "1500 E 2nd St",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895021262",
"country_code": "US",
"telephone_number": "775-982-2400",
"fax_number": "775-982-2888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GANCHAN",
"first_name": "RICHARD",
"middle_name": "P.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-20",
"last_updated": "2018-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "C40206",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NV",
"license": "3198",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NV",
"license": "3198",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XPY183366",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002016415",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "CC2332",
"state": "NV"
}
],
"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 Aug 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.