MEDICARE: NORTH VALLEY MEDICAL ASSOCIATES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	9005	NV
2	261QU0200X	Urgent Care Clinic/Center	9005	NV

General Provider Information

NPI Number	:	1225225576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTH VALLEY MEDICAL ASSOCIATES

Provider Business Mailing Address
First Line	:	6542 S MCCARRAN BLVD
Second Line	:	STE B
City	:	RENO
State	:	NV
Zip	:	89509-6142
Country	:	US
Telephone Number	:	775-329-3484
Fax Number	:	775-329-5362

Provider Business Practice Location Address
First Line	:	10555 STEAD BLVD
Second Line	:	STE 10
City	:	RENO
State	:	NV
Zip	:	89506-1871
Country	:	US
Telephone Number	:	775-971-3300
Fax Number	:	775-971-3307

Authorized Official
Title or Position	:	OWNER MD
Name	:	ROSE E PAIVA
Credential	:	MD
Telephone Number	:	775-329-3484

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	10/01/2007

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Directions to “NORTH VALLEY MEDICAL ASSOCIATES ” Practice Location

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