Iriye Medical Group PLLC

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

IRIYE MEDICAL GROUP PLLC

Practice address

9780 S. McCarran Blvd
#1
Reno, NV 89523

Phone

(775) 704-5000

Fax

(775) 404-0000

NPI assigned

Aug 12, 2019

Organization subpart

Yes

Parent organization

IRIYE MEDICAL GROUP PLLCAs reported in NPPES

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

Authorized official

Name

Kim Mandujano

Title

Administrative Assistant

Phone

(702) 382-3200

Specialties & licenses 1

Addresses

Other names 1

• High Risk Pregnancy Center Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Iriye Medical Group PLLC2 organizations share this tax ID, including this one

Part of

Iriye Medical Group PLLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Iriye Medical Group PLLC

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1033803986
  NPD tax ID

Locations

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.

• Iriye Medical Group PLLC

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1033803986
  NPPES parent name

Practitioners 1

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

• Brian K Iriye, MD

  • Maternal & Fetal Medicine Physician
  • Las Vegas, NV
  • NPI 1528021839
  NPD (past)

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1992351316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 PINTO LANE",
            "address_2": "#200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89106",
            "telephone_number": "702-382-3200",
            "fax_number": "702-382-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9780 S. MCCARRAN BLVD",
            "address_2": "#1",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89523",
            "telephone_number": "775-704-5000",
            "fax_number": "775-404-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRIYE MEDICAL GROUP PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IRIYE MEDICAL GROUP PLLC",
        "enumeration_date": "2019-08-12",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "MANDUJANO",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "702-382-3200"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Risk Pregnancy Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "High Risk Pregnancy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ashley Lynn Inwood
• Peter Delvin Iose
• Anna Iosua
• Aaron Robert Ireland
• Barbara A Irish, MD
• Sheila Irvin
• F Michael Irwin, MD
• Wes James Irwin, MD MS
• Isaac Hearne MD PC
• Christopher Stephen Isaacson I, APRN

• Maternal & Fetal Medicine Physician in Reno, NV
• Providers in Reno, NV by specialty
• Maternal & Fetal Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.