NPIMap

Organization Active NPI

Carson Tahoe Physician Clinics

  • Internal Medicine Physician
  • Dayton, NV
National Provider Identifier
1578893202
Registry record updated Feb 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CARSON TAHOE PHYSICIAN CLINICS
Practice address
901 Medical Center Dr
Suite 102
Dayton, NV 89403-7458
Phone
(775) 445-7621
Fax
(775) 283-3091
NPI assigned
Dec 31, 2009
Last updated
Feb 2, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2010

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

Authorized official

Name
Yolanda Romo
Title
Administrative Assist
Phone
(775) 283-3096

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

901 Medical Center Dr
Suite 102
Dayton, NV 89403-7458

Mailing address

2874 N Carson St
Suite 200
Carson City, NV 89706-0251
Phone (775) 283-3096

Other identifiers 1

IdentifierTypeStateIssuer
BQ020ZOtherNVMEDICARE PTAN

National Provider Directory

National Provider Directory
Tax ID family
Carson Tahoe Physician Clinics14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

Locations

2874 N Carson St
Ste 200
Carson City, NV 89706
Phone (775) 283-3220

NPI Registry JSON

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

{
    "created_epoch": "1262217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1578893202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2874 N CARSON ST",
            "address_2": "SUITE 200",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897060251",
            "telephone_number": "775-283-3096",
            "fax_number": "775-283-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 MEDICAL CENTER DR",
            "address_2": "SUITE 102",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037458",
            "telephone_number": "775-445-7621",
            "fax_number": "775-283-3091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE PHYSICIAN CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-31",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "ROMO",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSIST",
        "authorized_official_telephone_number": "775-283-3096"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "BQ020Z",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.