1. Home
  2. Directory
  3. Nevada
  4. Reno
  5. Family Medicine
  6. NPI Profile

PEAVINE FAMILY PRACTICE
NPI 1265958862
Family Medicine in Reno, NV

Active since August 16, 2017CLIA 29D2139720 · Waiver
2005 SIERRA HIGHLANDS DR STE 101, RENO, NV 89523(775) 624-6492 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Dec 26, 2017, Aug 16, 2017 (3 updates tracked since 2017).

About Peavine Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PEAVINE FAMILY PRACTICE (NPI 1265958862) is a healthcare organization registered as a family medicine in Reno, Nevada and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through November 6, 2027 and lists Ricardo J. Gonzalez, Owner, as its authorized official.

NPPES Registry Identity

NPI1265958862
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRICARDO GONZALEZ MD FAMILY PRACTICE PC
Location Address2005 SIERRA HIGHLANDS DR STE 101Reno, NV 89523-2301
Mailing Address2005 Sierra Highlands Dr Ste 101Reno, NV 89523-2301 · (775) 624-6492
Phone(775) 624-6492
Organization SubpartNo
Authorized OfficialRicardo J. GonzalezOwner · (775) 624-6492
Enumeration DateAugust 16, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1265958862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NV · 10279
Definition

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 10279 (NV)
2005 SIERRA HIGHLANDS DR STE 101, Reno, NV 89523
Open in Google Maps ↗

Other Names 1

Doing Business AsPeavine Family Practice

Other Identifiers 1

Medicaid13216011297NV

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2139720

Peavine Family Practice · Reno, NV
Active · expires Nov 6, 2027
CLIA Number29D2139720
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2025
Certificate Expiration DateNovember 6, 2027
Laboratory DirectorRicardo J. Gonzalez
Laboratory Phone(775) 624-6492
Laboratory LocationPeavine Family Practice4797 Caughlin Pkwy Ste 100, Reno, NV 89519
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ricardo Gonzalez MD Family Practice PC's NPI number?

The NPI number for Ricardo Gonzalez MD Family Practice PC is 1265958862. It was assigned to this organization in the NPPES registry on August 16, 2017. The provider is doing business as Peavine Family Practice.

Where is Ricardo Gonzalez MD Family Practice PC located?

Ricardo Gonzalez MD Family Practice PC is located at 2005 Sierra Highlands Dr Ste 101, Reno, NV 89523. The listed phone number is (775) 624-6492.

What is Ricardo Gonzalez MD Family Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Ricardo Gonzalez MD Family Practice PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2139720) is associated with this NPI, valid through November 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ricardo Gonzalez MD Family Practice PC accept?

Health plans from Ambetter from Arizona Complete Health list Ricardo Gonzalez MD Family Practice PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ricardo Gonzalez MD Family Practice PC was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.