Pride Medical Spa and Wellness Center Inc
NPI 1861036063 · Family Medicine Physician · Reno, NV
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pride Medical Spa and Wellness Center Inc is a Family Medicine Physician organization in Reno, NV (NPI 1861036063).
Provider details
- NPI number
- 1861036063
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Greg Jones, Clinic Administrator(775) 432-1500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Radiance Ketamine Clinic
- Doing business as
- Radiance Ketamine Clinic
Registry dates
- Enumerated
- 2019-10-30
- Last updated
- 2024-04-24
- Certified
- 2019-12-17
Frequently asked questions
- What is Pride Medical Spa and Wellness Center Inc's NPI number?
- Pride Medical Spa and Wellness Center Inc's National Provider Identifier (NPI) is 1861036063, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pride Medical Spa and Wellness Center Inc?
- Pride Medical Spa and Wellness Center Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Pride Medical Spa and Wellness Center Inc located?
- Pride Medical Spa and Wellness Center Inc's practice location on file with NPPES is 6380 Mae Anne Ave, Reno, NV 89523-4712.
- What is Pride Medical Spa and Wellness Center Inc's phone number?
- The practice phone number listed in the NPPES registry for Pride Medical Spa and Wellness Center Inc is (775) 432-1500.
- Does Pride Medical Spa and Wellness Center Inc accept Medicare?
- Pride Medical Spa and Wellness Center Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pride Medical Spa and Wellness Center Inc?
- The authorized official listed on Pride Medical Spa and Wellness Center Inc's NPPES record is Greg Jones, Clinic Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pride Medical Spa and Wellness Center Inc's NPI active?
- Yes — Pride Medical Spa and Wellness Center Inc's NPI (1861036063) is active in the NPPES registry as of the last update on 2024-04-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.