NPIMap

Organization Active NPI

Pinnacle Medical Group, Hicks PC

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1619656139
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PINNACLE MEDICAL GROUP, HICKS PC
Practice address
5990 Silver Lake Rd Ste C
Reno, NV 89506-2300
Phone
(775) 972-9100
NPI assigned
Jul 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Maria Elvira Rogers
Title
Practice Manager
Phone
(775) 848-5125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5990 Silver Lake Rd Ste C
Reno, NV 89506-2300

Mailing address

5975 S Los Altos Pkwy Ste 9
Sparks, NV 89436-7699
Phone (775) 204-4000

National Provider Directory

National Provider Directory
Tax ID family
Pinnacle Medical Group Hicks PC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

5975 S Los Altos Pkwy
Ste 9
Sparks, NV 89436

NPI Registry JSON

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

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1619656139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5975 S LOS ALTOS PKWY STE 9",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367699",
            "telephone_number": "775-204-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5990 SILVER LAKE RD STE C",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895062300",
            "telephone_number": "775-972-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINNACLE MEDICAL GROUP, HICKS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-12",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELVIRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "775-848-5125"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 2023; 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.