RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1023092541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023092541 |
| Entity Type | Organization |
| Organization Name | RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
3865 Jackson St Riverside CA 92503-3919 |
| Mailing Address |
1902 Royalty Dr Pomona CA 91767-3030 |
| Practice Telephone | 9096208180 |
| Practice Fax Number | 9094696741 |
| Mailing Telephone | 9096208180 |
| Mailing Fax Number | 9094696741 |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2008-06-24 |
| Authorized Official Name | DR. MONIKA KIEF GARCIA (CEO PRESIDENT) |
| Authorized Official Telephone | 9096208180 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
CA | Allopathic & Osteopathic Physicians | |
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
CA | Allopathic & Osteopathic Physicians | |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0085393 | 05 | |
| CA | RAILROAD MEDICARE | CG1263 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821019472 | Renaissance Radiology Medical Group, Inc. | Radiology | 5470 Jefferson Ave, Chino, CA 91710-3517 | 2006-07-21 |
| 1598749921 | Renaissance Radiology Medical Group, Inc. | Radiology | 5000 San Bernardino St, Montclair, CA 91763-2326 | 2005-11-30 |
| 1932104908 | Renaissance Radiology Medical Group, Inc. | Radiology | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2005-06-16 |
| 1437154697 | Renaissance Radiology Medical Group, Inc. | Radiology | 9041 Magnolia Ave, Ste 101, Riverside, CA 92503-3900 | 2005-06-15 |
| 1952306136 | Renaissance Radiology Medical Group, Inc. | Radiology | 1805 Medical Center Dr, San Bernardino, CA 92411-1217 | 2005-06-15 |
| 1316107550 | Renaissance Radiology Medical Group, Inc. | Radiology | 2000 Stadium Way, Los Angeles, CA 90026-2606 | 2008-06-11 |
| 1568668739 | Renaissance Radiology Medical Group, Inc. | Clinic/Center | 5470 Jefferson Ave, Chino, CA 91710-3517 | 2007-06-25 |
| 1134200983 | Renaissance Radiology Medical Group, Inc. | Radiology | 8599 Haven Ave., Suite 300, Rancho Cucamonga, CA 91730-4849 | 2006-10-18 |
| 1801870233 | Renaissance Radiology Medical Group, Inc. | Radiology | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2005-11-30 |
| Street Address |
3865 JACKSON ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-3919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225038953 | Parkview Community Hospital Medical Center | General Acute Care Hospital | 3865 Jackson St, Riverside, CA 92503-3919 | 2005-07-22 |
| 1831722826 | Samantha Rocha | Speech-Language Pathologist | 3865 Jackson St, Riverside, CA 92503-3919 | 2020-02-18 |
| 1588203814 | Nayer Benyamin | Pharmacist | 3865 Jackson St, Riverside, CA 92503-3919 | 2020-01-03 |
| 1124596382 | Doctors Hospital of Riverside LLC | General Acute Care Hospital | 3865 Jackson St, Riverside, CA 92503-3919 | 2018-11-06 |
| 1316458896 | Christine Ayad | Pharmacist | 3865 Jackson St, Riverside, CA 92503-3919 | 2017-10-23 |
| 1730530494 | Kheiter Inc | Internal Medicine | 3865 Jackson St, Riverside, CA 92503 | 2016-06-23 |
| 1508227513 | Beshoui Helkani | Pharmacist | 3865 Jackson St, Riverside, CA 92503 | 2016-03-18 |
| 1255719266 | Neel Pandya | Anesthesiology | 3865 Jackson St, Riverside, CA 92503 | 2015-05-11 |
| 1518369289 | Calvin Purushottam Patel | Family Medicine | 3865 Jackson St, Ste. 106-526, Riverside, CA 92503-3919 | 2014-09-24 |
| 1144636325 | Tanzeem Islam | Anesthesiology | 3865 Jackson St, Riverside, CA 92503 | 2014-07-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609348036 | Good Shepherd Healthcare LLC | Radiology | 9395 Magnolia Ave, Riverside, CA 92503-3747 | 2018-12-24 |
| 1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
| 1295057115 | 3dr Imaging Services, LLC | Radiology | 3211 Van Buren Blvd, Riverside, CA 92503-5640 | 2010-02-19 |
| 1922121979 | Glendale Diagnostic Imaging Network Medical Office | Radiology | 9496 Magnolia Ave Ste 101, Riverside, CA 92503-3733 | 2007-04-06 |
| 1366503799 | Tristan Molina Gale | Radiology | 170 Iowa Ave Suite 280, Riverside, CA 92507-7777 | 2006-12-12 |
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1003999103 | Danh Tien Nguyen | Radiology | 4334 Central Ave, Riverside, CA 92506-2918 | 2006-10-23 |
| 1053345926 | Nikhil C Patel | Radiology | 4361 Latham St, Riverside, CA 92501-1730 | 2006-07-10 |
| 1194703819 | Kathryn Occhipinti | Radiology | 1770 Iowa Ave, Riverside, CA 92507-2430 | 2006-01-03 |
| 1801897731 | Donald R Massee | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| Find all providers in RIVERSIDE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.