Individual provider Active NPI

Daniel Alonso

  • Physician Assistant
  • Reno, NV
National Provider Identifier
1750128351
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3136 Issued in NV
Practice address
6255 Sharlands Ave
Reno, NV 89523-2882
Phone
(775) 770-7682
NPI assigned
Jul 10, 2024
Last updated
Dec 27, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X PA3136 NV Primary

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

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
I20250122000961 NV Practitioner - Physician Assistant 4183153075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Marys Urgent Care LLCGroup PAC ID 2163658550, 11 clinicians
Saint Marys Medical Group IncGroup PAC ID 7618113523, 52 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA3136NVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Mary's Medical Group Inc CurrentSince Dec 10, 2025 Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Dec 10, 2025 Accepting new patients

Locations

1801 W Olympic Blvd
Pasadena, CA 91199

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

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

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

280 Vista Knoll Pkwy
Ste 10
Reno, NV 89506
Phone (775) 770-7682

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

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

645 N Arlington Ave
Ste 655
Reno, NV 89503
Phone (775) 333-5555

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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 3

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1750128351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034415",
            "telephone_number": "775-770-7682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6255 SHARLANDS AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895232882",
            "telephone_number": "775-770-7682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "280 Vista Knoll Pkwy Ste 10",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895065647",
            "country_code": "US",
            "telephone_number": "775-770-7682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALONSO",
        "first_name": "DANIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.