NPIMap

Individual provider Active NPI

Rene Torres

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1588355606
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
5560 Kietzke LN BLDG a
Reno, NV 89511-3019
Phone
(775) 322-7811
Fax
(775) 322-1431
NPI assigned
May 18, 2023
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NV Primary

Addresses

Primary practice location

5560 Kietzke LN BLDG a
Reno, NV 89511-3019

Mailing address

316 Golden Pick Dr
Dayton, NV 89403-7412
Phone (775) 750-4903

Other practice location 1

5070 Ion Dr Ste 201
Sparks, NV 89436-1612
Phone (775) 322-7811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241211004382 NV Practitioner - Physician Assistant 7315473436 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nevada School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Urology Nevada LTDGroup PAC ID 1557460557, 24 clinicians

Practice addresses (Care Compare)

5560 Kietzke LN
BLDG a
Reno, NV 89511-3019
Phone (775) 322-7811

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Urology Nevada LTD CurrentSince Oct 1, 2024 Accepting new patients
Carson Medical Group Professional Corporation CurrentSince Oct 1, 2024 Accepting new patients
Surgery Nevada LLC PastSince May 8, 2022 Accepting new patients
Reno Tahoe Anesthesia Weaver PC Past Accepting new patients

Locations

1525 Vista Ln
Ste 100
Carson City, NV 89703
Phone (775) 227-2720

1946 Old Hot Springs Rd
Carson City, NV 89706
Phone (775) 283-5050

10745 Double R Blvd
Reno, NV 89521
Phone (775) 322-7811

5560 Kietzke Ln
Bldg A
Reno, NV 89511
Phone (775) 322-7811

5070 Ion Dr
Ste 201
Sparks, NV 89436
Phone (775) 322-7811

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19482/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/ABJDAA
  • Direct secure messaging: rene.torres.1@19482.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1684368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1588355606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 GOLDEN PICK DR",
            "city": "DAYTON",
            "state": "NV",
            "postal_code": "894037412",
            "telephone_number": "775-750-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 KIETZKE LN BLDG A",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113019",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5070 Ion Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894361612",
            "country_code": "US",
            "telephone_number": "775-322-7811",
            "fax_number": "775-322-1431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TORRES",
        "first_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-18",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.