PEAVINE FAMILY PRACTICE
NPI 1265958862
Family Medicine in Reno, NV
NPI Status: Active since August 16, 2017
Contact Information
2005 SIERRA HIGHLANDS DR STE 101
RENO, NV
ZIP 89523
Phone: (775) 624-6492
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 29D2139720
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 11-06-2025
About PEAVINE FAMILY PRACTICE
This page provides the complete NPI Profile along with additional information for Peavine Family Practice, a primary care provider established in Reno, Nevada operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1265958862 assigned on August 2017. The practitioner's primary taxonomy code is 207Q00000X with license number 10279 (NV). The provider is registered as an organization and their NPI record was last updated 3 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Peavine Family Practice. The authorized official of this NPI record is Dr. Ricardo J. Gonzalez Md (Owner)
- NPI
- 1265958862
- Provider Legal Name
- RICARDO GONZALEZ MD FAMILY PRACTICE PC
- Other Organization Name
- PEAVINE FAMILY PRACTICE
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2005 SIERRA HIGHLANDS DR STE 101 RENO, NV 89523
- Location Phone
- (775) 624-6492
- Mailing Address
- 2005 SIERRA HIGHLANDS DR STE 101 RENO, NV 89523
- Mailing Phone
- (775) 624-6492
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-16-2017
- Last Update Date
- 07-21-2022
- Code Navigator
A primary care provider (PCP) like Peavine Family Practice sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10279
- License State
- NV
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208D00000X | Allopathic & Osteopathic Physicians | General Practice | 10279 (NV) |
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13216011297 | MEDICAID (05) | NV |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2139720
- Facility Type
- Physician Office
- Certificate Effective Date
- November 07, 2023
- Certificate Expiration Date
- November 06, 2025
- Laboratory Director
- RICARDO J. GONZALEZ
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Peavine Family Practice to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for PEAVINE FAMILY PRACTICE
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 6 | 5 | 9 | 5 | 8 | 8 | 6 | 2 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 12 | 5 | 18 | 5 | 16 | 8 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 2 + 5 + 1 + 8 + 5 + 1 + 6 + 8 + 1 + 2 + 24 = 68 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 68 = 2 | 2 | ||||||||
The NPI number 1265958862 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265958862, enumerated as an "organization" on August 16, 2017.
The provider is located at 2005 SIERRA HIGHLANDS DR STE 101 RENO, NV 89523 and the phone number is (775) 624-6492.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Medicare. Please consult your insurance carrier or call the provider to verify.
