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RENO FAMILY MEDICAL CLINIC, LLC
NPI 1477970325
Clinic/Center - Primary Care in Reno, NV

Active since March 27, 2014CLIA 29D2091137 · Waiver
1699 S VIRGINIA ST, SUITE 100, RENO, NV 89502(775) 742-7028(775) 786-8685 Get Directions Write a Review

NPPES record last updated: October 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Reno Family Medical Clinic, Llc NPPES

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

RENO FAMILY MEDICAL CLINIC, LLC (NPI 1477970325) is a healthcare organization registered as a primary care in Reno, Nevada and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through January 22, 2027 and lists Mary Ann Pettit, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1477970325
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameRENO FAMILY MEDICAL CLINIC
Location Address1699 S VIRGINIA ST, SUITE 100Reno, NV 89502-2820
Mailing Address1699 S Virginia St, Suite 100Reno, NV 89502-2820 · (775) 742-7028 · Fax (775) 786-8685
Phone(775) 742-7028
Fax(775) 786-8685
Organization SubpartNo
Authorized OfficialMary Ann PettitCredentialing · (888) 737-3720
Enumeration DateMarch 27, 2014
Last NPPES UpdateOctober 18, 2018
✔ NPI 1477970325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NV · 11950
1699 S VIRGINIA ST, Reno, NV 89502
Open in Google Maps ↗

Other Names 1

Other NameReno Family Medical Clinic, Llc

Other Identifiers 1

Medicaid1235242470NV

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 29D2091137

Reno Family Medical Clinic · Reno, NV
Active · expires Jan 22, 2027
CLIA Number29D2091137
Laboratory TypePhysician Office
Certificate Effective DateJanuary 23, 2025
Certificate Expiration DateJanuary 22, 2027
Laboratory DirectorMohsen Tamasaby
Laboratory Phone(775) 386-8733
Laboratory LocationReno Family Medical Clinic1699 S Virginia St Ste 100, Reno, NV 89502
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARTIN GUTRIDE PHD
Counselor (Mental Health)
1699 S VIRGINIA ST, SUITE 203
RENO, NV 89502
Washoe County (775) 323-1200
DENNIS WARREN DOTY
Physical Therapist
1699 S VIRGINIA ST, SUITE 100
RENO, NV 89502
Washoe County (775) 826-5575
DENNIS DOTY PHYSICAL THERAPY INC
Physical Therapist
1699 S VIRGINIA ST, SUITE 100
RENO, NV 89502
Washoe County (775) 826-5575
MARCIA JEAN HOWTON MD LTD
Anesthesiology (Pain Medicine)
1699 S VIRGINIA ST, SUITE 100
RENO, NV 89502
Washoe County (775) 852-7900
DR. STEVEN E GERSON D.O.
Internal Medicine
1699 S VIRGINIA ST, SUITE 100
RENO, NV 89502
Washoe County (702) 622-0338
AUSTIN HILL DPT
Physical Therapist
1699 S VIRGINIA ST, STE. 101
RENO, NV 89502
Washoe County (775) 322-4555
DR. SHAUNA LEE OLSEN D.C.
Chiropractor
1699 S VIRGINIA ST, STE 100
RENO, NV 89502
Washoe County (775) 826-5575

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 Reno Family Medical Clinic's NPI number?

The NPI number for Reno Family Medical Clinic is 1477970325. It was assigned to this organization in the NPPES registry on March 27, 2014. The provider is also known as Reno Family Medical Clinic, LLC.

Where is Reno Family Medical Clinic located?

Reno Family Medical Clinic is located at 1699 S Virginia St Suite 100, Reno, NV 89502. The listed phone number is (775) 742-7028.

What is Reno Family Medical Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Does Reno Family Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2091137) is associated with this NPI, valid through January 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Reno Family Medical Clinic accept?

Health plans from Ambetter from Arizona Complete Health list Reno Family Medical Clinic 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 Reno Family Medical Clinic was last updated on October 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.