RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1700252467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700252467 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
30700 E Sunset Dr S Redlands CA 92373-7448 |
| Mailing Address |
Po Box 511412 Los Angeles CA 90051-7967 |
| Practice Telephone | 3107170360 |
| Practice Fax Number | 7706669102 |
| Mailing Telephone | 8774419002 |
| Mailing Fax Number | 5594554018 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |
| Authorized Official Name | DR. DONALD MASSEE (PRESIDENT) |
| Authorized Official Telephone | 9517812273 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A112768 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | NPI | 1194979856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700261765 | Riverside Radiology Medical Group, Inc. | Radiology | 400 Warren Dr, Apt. 4, San Francisco, CA 94131-1075 | 2015-07-20 |
| 1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
| 1851694699 | Riverside Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2010-12-17 |
| 1457653206 | Riverside Radiology Medical Group, Inc. | Radiology | 3651 Laketree Dr, Fallbrook, CA 92028-9404 | 2010-11-30 |
| 1619278348 | Riverside Radiology Medical Group, Inc. | Radiology | 9 Tesoro, Newport Coast, CA 92657-1214 | 2010-11-11 |
| 1932409703 | Riverside Radiology Medical Group, Inc. | Radiology | 104 Ormskirk, Williamsburg, VA 23188-8941 | 2010-10-27 |
| 1518267384 | Riverside Radiology Medical Group, Inc. | Radiology | 7410 Yonie Ct, Las Vegas, NV 89117-2159 | 2010-10-27 |
| 1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
| 1003116872 | Riverside Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2010-10-27 |
| 1932409794 | Riverside Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2010-10-27 |
| Street Address |
30700 E SUNSET DR S |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-7448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| 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 |
|---|---|---|---|---|
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| 1164053286 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 108, Redlands, CA 92373-4230 | 2020-01-28 |
| 1023255031 | Loma Linda University Radiology Medical Group, Inc. | Radiology | 26780 Barton Road, Redlands, CA 92373-4308 | 2009-01-13 |
| 1144437559 | Charlene Larsen Andersen | Radiology | 762 Hilary Ln, Redlands, CA 92373-5618 | 2007-05-16 |
| 1023043551 | Pacific West Specialties, LLC | Radiology | 101 E Redlands Blvd Ste 212, Redlands, CA 92373-4724 | 2006-07-12 |
| 1588697924 | Shailendri Eswar-rao Philip | Radiology | 518 S Buena Vista St, Redlands, CA 92373-5804 | 2006-07-09 |
| 1528005188 | Susan Spieller | Radiology | 608 E Sunset Dr N, Redlands, CA 92373-6451 | 2006-06-01 |
| 1417904368 | Szabolcs S Mera | Radiology | 2 W. Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| 1043267156 | Kerry D Rold | Radiology | 2 West Fern Ave, Redlands, CA 92373-5916 | 2006-05-27 |
| 1801159736 | Beverly Radiology Medical Group | Radiology | 1901 W Lugonia Ave, Suite 110, Redlands, CA 92374-9703 | 2012-06-15 |
| Find all providers in REDLANDS | ||||
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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.