Organization Active NPI

Sierra Healthcare LLC

  • Plastic Surgery Physician
  • Reno, NV
National Provider Identifier
1487954632
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
101395 Issued in NV
Legal business name
SIERRA HEALTHCARE LLC
Practice address
9436 Double R Blvd a
Reno, NV 89521-2998
Phone
(775) 284-0911
Fax
(775) 851-1482
NPI assigned
Oct 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Authorized official

Name
Boris Volshteyn, MD
Title
Physician/Ceo
Phone
(775) 284-0911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 101395 NV Primary

Addresses

Primary practice location

9436 Double R Blvd a
Reno, NV 89521-2998

Mailing address

9436 Double R Blvd a
Reno, NV 89521-2998
Phone (775) 284-0911

Other identifiers 1

IdentifierTypeStateIssuer
100506946MedicaidNV

Other names 1

  • Sierra Healthcare LLC Other name

National Provider Directory

National Provider Directory

Locations

9436 Double R Blvd
Ste A
Reno, NV 89521
Phone (775) 284-0911

NPI Registry JSON

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287619200000",
    "number": "1487954632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 DOUBLE R BLVD A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212998",
            "telephone_number": "775-284-0911",
            "fax_number": "775-851-1482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 DOUBLE R BLVD A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895212998",
            "telephone_number": "775-284-0911",
            "fax_number": "775-851-1482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-21",
        "last_updated": "2010-10-21",
        "status": "A",
        "authorized_official_last_name": "VOLSHTEYN",
        "authorized_official_first_name": "BORIS",
        "authorized_official_title_or_position": "PHYSICIAN/CEO",
        "authorized_official_telephone_number": "775-284-0911",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "NV",
            "license": "101395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506946",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Healthcare LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Oct 21, 2010; 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.