MR. EDWARD GENE URTIAGA III
NPI 1538861877
Student in an Organized Health Care Education/Training Program in Reno, NV

Q: What is Edward Urtiaga's NPI number?

The NPI number for Edward Urtiaga is 1538861877. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Q: What is Edward Urtiaga's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Edward Urtiaga was last updated on June 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 20, 2023PECOS Enrolled

745 W MOANA LN STE 300, RENO, NV 89509(775) 432-6672 Get Directions Write a Review

NPPES record last updated: June 2, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 2, 2026, Mar 20, 2023 (2 updates tracked since 2023).

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About Mr. Edward Gene Urtiaga Iii NPPES

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

MR. EDWARD GENE URTIAGA III (NPI 1538861877) is an individual student in an organized health care education/training program in Reno, Nevada and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538861877

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. EDWARD GENE URTIAGA III

Location Address745 W MOANA LN STE 300Reno, NV 89509-4980

Mailing Address745 W Moana Ln Ste 300Reno, NV 89509-4980 · (775) 432-6672

Phone(775) 432-6672

Sole ProprietorNo

Enumeration DateMarch 20, 2023

Last NPPES UpdateJune 2, 20262 updates tracked since enumeration

NPPES CertifiedJune 2, 2026

✔ NPI 1538861877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedFamily MedicineTaxonomy 207Q00000X · License LL4047 (NV)

745 W MOANA LN STE 300, Reno, NV 89509

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Edward Gene Urtiaga Iii is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

JACLYN O'DONNELL MD, RD

Student in an Organized Health Care Education/Training Program