Active NPI
Warlito C. Pizarro, RFA
- Assisted Living Facility
- Reno, NV
National Provider Identifier
1548724727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- NVN118AGC
- Practice address
- 8115 Mohawk LN
Reno, NV 89506-9126 - Phone
- (775) 677-8115
- Fax
- (775) 677-7076
- NPI assigned
- Jan 22, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 3742-AGC-18 | NV | |
| Assisted Living Facility | 310400000X | 119-AGC-26 | NV | |
| Assisted Living Facility | 310400000X | NVN118AGC | NV | Primary |
Addresses
Primary practice location
8115 Mohawk LN
Reno, NV 89506-9126
Mailing address
8085 Mohawk LN
Reno, NV 89506-9126
Phone (775) 677-1105
Other practice location 1
8055 Mohawk Ln
Reno, NV 89506-9126
Phone (775) 677-1471
Other practice location 2
8085 Mohawk Ln
Reno, NV 89506-9126
Phone (775) 677-1105
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005034952 | Medicaid | NV | |
| 9005056039 | Medicaid | NV | |
| 9005056153 | Medicaid | NV |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 119-AGC-26 | NV | MD | Assisted Living Facility |
| 3742-AGC-18 | NV | MD | Assisted Living Facility |
| NVN118AGC | NV | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lolas Legacy LLC | Current | Accepting new patients | |
| Horizon Hills Residential Group Care | Assisted Living Facility | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Assisted Living Facility
- Reno, NV
- NPI 1366507147
-
- Assisted Living Facility (Mental Illness)
- Reno, NV
- NPI 1245901032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585612800000",
"number": "1548724727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8085 MOHAWK LN",
"city": "RENO",
"state": "NV",
"postal_code": "895069126",
"telephone_number": "775-677-1105",
"fax_number": "775-677-7076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8115 MOHAWK LN",
"city": "RENO",
"state": "NV",
"postal_code": "895069126",
"telephone_number": "775-677-8115",
"fax_number": "775-677-7076"
}
],
"practiceLocations": [
{
"address_1": "8055 Mohawk Ln",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895069126",
"country_code": "US",
"telephone_number": "775-677-1471",
"fax_number": "775-677-7076",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8085 Mohawk Ln",
"address_purpose": "LOCATION",
"city": "Reno",
"state": "NV",
"postal_code": "895069126",
"country_code": "US",
"telephone_number": "775-677-1105",
"fax_number": "775-677-7076",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PIZARRO",
"first_name": "WARLITO",
"middle_name": "C.",
"credential": "RFA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-22",
"last_updated": "2020-03-31",
"certification_date": "2020-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NV",
"license": "3742-AGC-18",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NV",
"license": "119-AGC-26",
"primary": false
},
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NV",
"license": "NVN118AGC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9005034952",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9005056039",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9005056153",
"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 Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.