Individual provider Active NPI

Jared Talancon, PA-C

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1679840110
Registry record updated Jan 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA-2732 Issued in NV
Practice address
850 Mill St Ste 400
Reno, NV 89502-1413
Phone
(888) 795-1110
NPI assigned
Nov 29, 2011
Last updated
Jan 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU
Physician Assistant 363A00000X PA-2732 NV Primary
Medical Physician Assistant 363AM0700X NU
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

850 Mill St Ste 400
Reno, NV 89502-1413

Mailing address

2496 Libero Dr
Sparks, NV 89436-0657
Phone (775) 302-6098

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230207003501 NV Practitioner - Physician Assistant 7416243621 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nevada School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
First Person Care ClinicGroup PAC ID 2961649207, 10 clinicians
Bruncuso Holdings LLCGroup PAC ID 4789043449, 14 clinicians
Saint Marys Urgent Care LLCGroup PAC ID 2163658550, 11 clinicians

Practice addresses (Care Compare)

1200 S 4TH St
Suite 111
Las Vegas, NV 89104-1046
Phone (702) 380-8118

123 W Nye LN
Suite 129
Carson City, NV 89706-0838
Phone (775) 376-5184

18653 Wedge Pkwy
Suite 300
Reno, NV 89511-3038
Phone (775) 770-7210

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA-2732NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Marys Medical Group Inc. Current Accepting new patients
First Person Care Clinic CurrentSince Oct 1, 2024 Accepting new patients
Medtrans Medical Nevada Casal PLLC CurrentSince Jul 18, 2024 Accepting new patients
First Person Care Clinic CurrentSince Oct 1, 2024 Accepting new patients
Homebase Care Casal PLLC CurrentSince Jul 18, 2024 Accepting new patients
First Person Care Clinic Physician Assistant Past Accepting new patients

Locations

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

200 E Horizon Dr
Henderson, NV 89015
Phone (702) 380-8118

1200 S 4th St
Las Vegas, NV 89104
Phone (702) 380-8118

1200 S 4th St
Ste 111
Las Vegas, NV 89104
Phone (702) 380-8118

3312 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 410-7825

5412 Boulder Hwy
#B
Las Vegas, NV 89122

411 W 6th St
Reno, NV 89503
Phone (775) 770-3209

850 Mill St
Ste 100
Reno, NV 89502
Phone (775) 982-3950

890 Mill St
Ste 400
Reno, NV 89502
Phone (775) 505-4804

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jtalancon645532@direct.med.utah.edu

Organizations & group practices 10

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1322524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738022400000",
    "number": "1679840110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2496 LIBERO DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894360657",
            "telephone_number": "775-302-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 MILL ST STE 400",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021413",
            "telephone_number": "888-795-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALANCON",
        "first_name": "JARED",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-29",
        "last_updated": "2025-01-28",
        "certification_date": "2025-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA-2732",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.