EASTERN SIERRA MEDICAL GROUP LLC; NPI #1316925381

Contact Information

EASTERN SIERRA MEDICAL GROUP LLC

3595 US HIGHWAY 50
SILVER SPRINGS, NV 89429-9613

Phone: 775-982-5000
Fax: 775-982-3900
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Family Medicine	207Q00000X	08	Physician/Family Practice
Physician Assistant	363A00000X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for EASTERN SIERRA MEDICAL GROUP LLC

NPI # 1316925381

LBN Legal business name EASTERN SIERRA MEDICAL GROUP LLC

Authorized official BRETT MOORE - (CFO ACUTE CARE)

Entity Organization

Organization subpart ¹ No

Enumeration date 01/09/2006

Last updated 07/30/2025 - About 10 months ago

Identifiers

NV	License #	7714RHC-0
NV	Medicaid	1316925381
NV	Other	CJ7646	RR MEDICARE PTAN

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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EASTERN SIERRA MEDICAL GROUP LLC

Contact Information

Specialty

Rural Health

Family Medicine

Physician Assistant

NPI Profile & details for EASTERN SIERRA MEDICAL GROUP LLC

Reviews for EASTERN SIERRA MEDICAL GROUP LLC