PINNACLE MEDICAL GROUP HICKS PC NPI 1407609159

NPI Information

  • NPI: 1407609159
  • Provider Name: PINNACLE MEDICAL GROUP, HICKS PC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • CLIA Number: 29D2252825
  • Address: 2861 NORTHTOWNE LN
    RENO, NV
    ZIP 89512
  • Phone: (775) 204-4000

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NPI Details

PINNACLE MEDICAL GROUP, HICKS PC is a primary care clinic center in Reno, NV. PINNACLE MEDICAL GROUP, HICKS PC NPI is 1407609159. The provider is registered as an organization entity type.

The provider's business location address is:

2861 NORTHTOWNE LN
RENO, NV
ZIP 89512-058
Phone: (775) 204-4000

The provider's authorized official is Maria Rogers .
The authorized official title is Practice Manager and has the following contact phone number (775) 848-5125.

The CLIA number assigned to this NPI record is 29D2252825 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2024 and was last updated on 4/10/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterNo
2261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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