Individual provider Active NPI

Warlito C. Pizarro, RFA

  • Assisted Living Facility
  • Reno, NV
National Provider Identifier
1548724727
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
NVN118AGC Issued in NV
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

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
9005034952MedicaidNV
9005056039MedicaidNV
9005056153MedicaidNV

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

LicenseStateTypeSpecialty
119-AGC-26NVMDAssisted Living Facility
3742-AGC-18NVMDAssisted Living Facility
NVN118AGCNVMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Lolas Legacy LLC CurrentSince Sep 28, 2021 Accepting new patients
Horizon Hills Residential Group Care Assisted Living Facility PastSince Mar 29, 2020 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.

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.

Verify at the official NPI Registry.