| 1941-1953 | Lawrence Parsons, Reno |
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| Note: From 1953-1980 Chapter leadership represented both the Nevada and Northern California regions. | |
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| 1953-1961 | Stacy R. Mettier, San Francisco |
| 1961-1968 | Roberto F. Escamilla, San Francisco (Chair, 1966-68) |
| 1968-1973 | John R. Gamble, San Francisco and St. Helena (Vice-Chair, 1969-70, Chair, 1971-73) |
| 1973-1977 | Maurice Fox, Palo Alto |
| 1977-1980 | Ralph O. Wallerstein, San Francisco |
| 1980-1985 | Robert J. Barnet, Reno |
| 1985-1989 | Alan William Feld, Las Vegas |
| 1989-1990 | Roger K. Ferguson, Reno (Elected to 1993, Served only to June 1990) |
| 1990-1991 | Stanley R. Shane, Reno (Appointed in June 1990 until Governor-elect took office in 1991 at Annual Session in New Orleans) |
| 1991-1995 | Robert W. Clark, Las Vegas |
| 1995-1999 | John A. Ellerton, Las Vegas |
| 1998-2000 | Larry Lehrner, Henderson (Transitional Governor) |
| 1999-2003 | Arnold Wax, Henderson |
| 2003-2007 | Jim Christensen, Henderson |
| 2007-2010 | Eugene L Speck, Las Vegas |
| 2011-2015 | Warren H. Evins, MD, PhD, FACP, Las Vegas |
| 2015-2019 | Evan M. Klass, MD FACP, Reno |
| 2019-2023 | T Brian Callister, MD SFHM FACP, Reno |
| 2023-present | Sandhya Wahi-Gururaj, MD, FACP, Las Vegas |