NPIMap

Organization Active NPI

Narag Fallon Family Clinic, P.C.

  • Internal Medicine Physician
  • Fallon, NV
National Provider Identifier
1477664423
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8884 Issued in NV
Legal business name
NARAG FALLON FAMILY CLINIC, P.C.
Practice address
1077 New River Pkwy
Fallon, NV 89406-6894
Phone
(775) 428-2747
Fax
(775) 428-2179
NPI assigned
Aug 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Reynaldo B Narag Jr., M.D.NPI 1598747156
Title
President/Medical Director
Phone
(775) 428-2747

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 8884 NV Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X 8787 NV

Addresses

Primary practice location

1077 New River Pkwy
Fallon, NV 89406-6894

Mailing address

PO Box 615
Fallon, NV 89407-0615
Phone (775) 428-2747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000687 NV Part B Supplier - Clinic/Group Practice 2365460011 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Fallon, NV

Other NPIs on the same Medicare enrollment 1

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

National Provider Directory

National Provider Directory
Tax ID family
Narag Fallon Family Clinic Faster Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1077 New River Pkwy
Fallon, NV 89406
Phone (775) 428-2747

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1477664423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 615",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894070615",
            "telephone_number": "775-428-2747",
            "fax_number": "775-428-2179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1077 NEW RIVER PKWY",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894066894",
            "telephone_number": "775-428-2747",
            "fax_number": "775-428-2179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARAG FALLON FAMILY CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "NARAG",
        "authorized_official_first_name": "REYNALDO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "775-428-2747",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8884",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "8787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.