Daniel Alonso
Individual provider Active NPI Physician Assistant · Reno, NV
NPI 1750128351 · NPPES record last updated Dec 27, 2024
Key facts
- NPI
- 1750128351
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA3136 (NV)
- Practice address
- 6255 Sharlands Ave
Reno, NV 89523-2882 - Phone
- (775) 770-7682
- NPI assigned
- Jul 10, 2024
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saint Marys Urgent Care LLC
Saint Marys Medical Group Inc
Practice addresses (Care Compare)
18653 Wedge Pkwy
Suite 300
Reno, NV 89511-3038
Phone (775) 770-7210
235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000
Hospital & facility affiliations
- Saint Mary'S Regional Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250122000961 | NV | Practitioner - Physician Assistant | 4183153075 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Marys Medical Group Inc. | Current |
Accepting new patients | |
| Saint Mary'S Medical Group Inc | Current |
Accepting new patients |
Locations
1801 W Olympic Blvd
#1461
Pasadena, CA 91199
1801 W Olympic Blvd
Pasadena, CA 91199
411 W 6th St
Reno, NV 89503
Phone (775) 770-3209
18653 Wedge Pkwy
Ste 300
Reno, NV 89511
Phone (775) 770-7210
18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201
235 W 6th St
Reno, NV 89503
Phone (775) 746-3202
280 Vista Knoll Pkwy
Ste 10
Reno, NV 89506
Phone (775) 770-7682
645 N Arlington Ave
Ste 655
Reno, NV 89503
Phone (775) 333-5555
6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | PA3136 | NV | Yes |
Addresses
Primary practice location
6255 Sharlands Ave
Reno, NV 89523-2882
Mailing address
411 W 6TH St
Reno, NV 89503-4415
Phone (775) 770-7682
Other practice location 1
280 Vista Knoll Pkwy Ste 10
Reno, NV 89506-5647
Phone (775) 770-7682
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.