NPI 1487125977 · live from the CMS NPI Registry
Community Care Services LLC
Pediatrics, Pediatric Hematology-Oncology in Reno, NV. National Provider Identifier 1487125977, active.
NPI record
| NPI | 1487125977 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Pediatrics, Pediatric Hematology-Oncology 2080P0207X |
| Practice location | 75 Pringle Way Ste 505, Reno, NV 89502 |
| Practice phone | 775-982-5437 |
| Mailing address | 1155 Mill St # M14, Reno, NV 89502 |
| Enumerated | December 10, 2018 |
| Last updated | April 9, 2025 |
| Authorized official | Brett Moore, Cfo Acute Care |
| Other names | Renown Medical Group Pediatric Hematology And Oncology; Renown Medical Group Pediatric Specialty Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical Child & Adolescent | 103TC2200X | — |
| Dietitian, Registered, Nutrition, Pediatric | 133VN1004X | — |
| Internal Medicine, Hospice and Palliative Medicine | 207RH0002X | — |
| Medical Genetics, Clinical Biochemical Genetics | 207SG0202X | — |
| Pediatrics, Pediatric Endocrinology | 2080P0205X | — |
| Pediatrics, Pediatric Gastroenterology | 2080P0206X | — |
| Pediatrics, Pediatric Hematology-Oncology primary | 2080P0207X | — |
| Pediatrics, Pediatric Infectious Diseases | 2080P0208X | — |
| Pediatrics, Pediatric Nephrology | 2080P0210X | — |
| Pediatrics, Pediatric Pulmonology | 2080P0214X | — |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | — |
| Nurse Practitioner, Pediatrics | 363LP0200X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.