Peavine Family Practice
LBN: Ricardo Gonzalez Md Family Practice Pc
Peavine Family Practice is an health care organization with primary practice located at 2005 Sierra Highlands Dr Ste 101 , Reno NV 89523-2301. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Ricardo Gonzalez Md Family Practice Pc can be contacted via phone (775) 624-6492, or through Gonzalez, Ricardo J. via phone (775) 624-6492.
Contact Information
Primary practice address
2005 Sierra Highlands Dr Ste 101
Reno NV 89523-2301
Phone: (775) 624-6492
Fax:
Website:
Authorized official contact:
Name: Gonzalez, Ricardo J. Doctor of Medicine (MD)
Phone: (775) 624-6492
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 10279 | Nevada |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 10279 | Nevada |
Profile Details
| NPI number | 1265958862 |
|---|---|
| LBN Legal business name | Ricardo Gonzalez Md Family Practice Pc |
| DBA Doing business as | Peavine Family Practice |
| Authorized official | Gonzalez, Ricardo J. Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 16th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265958862 | NPPES |
| Nevada | MEDICAID | 13216011297 |
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