Organization Active NPI

Primary Care Plus Foundation

  • Family Medicine Physician
  • Reno, NV
National Provider Identifier
1790746089
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PRIMARY CARE PLUS FOUNDATION
Practice address
3915 Neil Rd
Reno, NV 89502-6808
Phone
(775) 770-3780
Fax
(775) 828-7788
NPI assigned
Mar 28, 2006
Organization subpart
Yes
Parent organization
PRIMARY CARE PLUS FOUNDATIONAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Sam King
Title
Cfo
Phone
(775) 770-6229

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Part of
Primary Care Plus Foundation

Locations

3915 Neil Rd
#J
Reno, NV 89502
Phone (775) 770-3780

235 W 6th St
Fl Third
Reno, NV 89503
Phone (775) 770-7980

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

3915 Neil Rd
Reno, NV 89502-6808

Mailing address

235 W 6TH St
Third Floor
Reno, NV 89503-4548
Phone (775) 770-3930

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100508167MedicaidNV

Other names 1

NPPES NPI Registry
  • Saint Mary's Nell J. Redfield Heatlh Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 4, 2010.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265241600000",
    "number": "1790746089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "address_2": "THIRD FLOOR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-3930",
            "fax_number": "775-770-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 NEIL RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026808",
            "telephone_number": "775-770-3780",
            "fax_number": "775-828-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE PLUS FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRIMARY CARE PLUS FOUNDATION",
        "enumeration_date": "2006-03-28",
        "last_updated": "2010-02-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "SAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-770-6229"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508167",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Saint Mary's Nell J. Redfield Heatlh Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 4, 2010; 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.