Active NPI
Planned Parenthood Mar Monte Inc
- Community Health Clinic/Center
- Reno, NV
National Provider Identifier
1578516530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- PLANNED PARENTHOOD MAR MONTE INC
- Practice address
- 4385 Neil Rd
Suite 105
Reno, NV 89502-5103 - Phone
- (775) 829-2211
- Fax
- (775) 829-4391
- NPI assigned
- May 18, 2006
- Last updated
- Jul 25, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tom Motsiff, MHA, CMA
- Title
- Cfo
- Phone
- (408) 795-3707
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Clinic/Center | 261QC1500X | NV | Primary |
Addresses
Primary practice location
4385 Neil Rd
Suite 105
Reno, NV 89502-5103
Mailing address
4385 Neil Rd
Suite 105
Reno, NV 89502-5103
Phone (775) 829-2211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001716910 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040714000802 | NV | Part B Supplier - Clinic/Group Practice | 1456248954 |
Receives reassigned benefits from 17 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: North Las Vegas, NV; Reno, NV |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Community Health Clinic/Center
- Reno, NV
- NPI 1497708770
O20040714000802
-
dba Planned Parenthood Mar Monte - North Las Vegas
- Community Health Clinic/Center
- North Las Vegas, NV
- NPI 1598561805
O20040714000802
National Provider Directory
National Provider DirectoryLocations
4385 Neil Rd
Ste 105
Reno, NV 89502
Phone (775) 325-7851
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Reno, NV
- NPI 1912233198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1564012800000",
"number": "1578516530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4385 NEIL RD",
"address_2": "SUITE 105",
"city": "RENO",
"state": "NV",
"postal_code": "895025103",
"telephone_number": "775-829-2211",
"fax_number": "775-829-4391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4385 NEIL RD",
"address_2": "SUITE 105",
"city": "RENO",
"state": "NV",
"postal_code": "895025103",
"telephone_number": "775-829-2211",
"fax_number": "775-829-4391"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANNED PARENTHOOD MAR MONTE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2019-07-25",
"status": "A",
"authorized_official_last_name": "MOTSIFF",
"authorized_official_first_name": "TOM",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "408-795-3707",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MHA, CMA"
},
"taxonomies": [
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001716910",
"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 Jul 25, 2019; 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.