Organization Active NPI

Sierra Vista Surgery Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Reno, NV
National Provider Identifier
1912011297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
4203ASC-1 Issued in NV
Legal business name
SIERRA VISTA SURGERY CENTER, LLC
Practice address
10463 Double R Blvd
Suite 200
Reno, NV 89521-8905
Phone
(775) 851-9400
NPI assigned
Aug 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Julie Anna Buxton
Title
Administrator
Phone
(775) 851-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 4203ASC-1 NV Primary

Addresses

Primary practice location

10463 Double R Blvd
Suite 200
Reno, NV 89521-8905

Mailing address

10463 Double R. Boulevard
Suite 200
Reno, NV 89521
Phone (775) 851-9400

National Provider Directory

National Provider Directory

Locations

10463 Double R Blvd
#15
Reno, NV 89521
Phone (775) 722-6214

10463 Double R Blvd
Bldg 15
Reno, NV 89521
Phone (775) 722-6214

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912011297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10463 DOUBLE R. BOULEVARD",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89521",
            "telephone_number": "775-851-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10463 DOUBLE R BLVD",
            "address_2": "SUITE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218905",
            "telephone_number": "775-851-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA VISTA SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUXTON",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-851-9400",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NV",
            "license": "4203ASC-1",
            "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 Aug 22, 2020; 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.