RENAISSANCE RADIOLOGY MEDICAL GROUP, INC


Address: 1760 W 16th St, San Bernardino, CA 92411-1160
Phone: 9096208180

RENAISSANCE RADIOLOGY MEDICAL GROUP, INC (NPI# 1912928565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1912928565
Entity Type Organization
Organization Name RENAISSANCE RADIOLOGY MEDICAL GROUP, INC
Other Organization Name RENAISSANCE RADIOLOGY MEDICAL GROUP, INC
Practice Address 1760 W 16th St
San Bernardino
CA 92411-1160
Mailing Address 1902 Royalty Dr
Suite 220
Pomona
CA 91767-3030
Practice Telephone 9096208180
Practice Fax Number 9094696741
Mailing Telephone 9096208180
Mailing Fax Number 9094696741
Enumeration Date 2006-07-21
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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2085R0204X Radiology
Specialization: Vascular & Interventional Radiology
Allopathic & Osteopathic Physicians
N 2085U0001X Radiology
Specialization: Diagnostic Ultrasound
Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA GR0085397 05
CA RAILROAD MEDICARE CG1263 01

Other Provider/Organization Names

Other Name Type Code
Renaissance Radiology Medical Group, Inc Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1144428350 Renaissance Radiology Medical Group, Inc Radiology 2224 Medical Center Dr, Perris, CA 92571-2638 2007-07-10
1619951134 Renaissance Radiology Medical Group, Inc Radiology 5451 Walnut Ave, Chino, CA 91710-2609 2005-11-30

Office Location

Street Address 1760 W 16TH ST
City SAN BERNARDINO
State CA
Zip Code 92411-1160

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497748081 Vibra Hospital of San Bernardino, LLC Rehabilitation Hospital 1760 W 16th St, San Bernardino, CA 92411-1160 2005-08-29
1457971566 Jamie Lou Mejorada Sabellon Speech-Language Pathologist 1760 W 16th St, San Bernardino, CA 92411-1160 2020-04-17
1306497144 Megan Cherene Speech-Language Pathologist 1760 W 16th St, San Bernardino, CA 92411-1160 2019-09-23
1467910331 Austin Liao Lee Pharmacist 1760 W 16th St, San Bernardino, CA 92411-1160 2019-03-08
1780182816 Socal Rehab Consultants Inc Physical Medicine & Rehabilitation 1760 W 16th St, San Bernardino, CA 92411-1160 2018-01-23
1134511249 Rehabology Physical Medicine & Rehabilitation 1760 W 16th St, San Bernardino, CA 92411-1160 2015-02-26
1033413604 Kimberly A Johnson Social Worker 1760 W 16th St, San Bernardino, CA 92411-1160 2010-12-22
1003040270 Kar-wai Yung Physical Medicine & Rehabilitation 1760 W 16th St, San Bernardino, CA 92411-1160 2009-05-04
1295798213 Van Tze Chen Physical Medicine & Rehabilitation 1760 W 16th St, San Bernardino, CA 92411-1160 2006-04-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619537016 Shaunice Renee Cox Case Manager/Care Coordinator 1604 Pennsylvania Street, San Bernardino, CA 92411 2019-06-18
1104327543 Wilson Gomer M.d. Professional Medical Corporation Clinic/Center 1800 Western Ave Ste 103, San Bernardino, CA 92411 2018-02-21
1467883504 Pedro Lynn Hayes Nurse Practitioner 1800 Medical Center Dr. #99, San Bernardono, CA 92411 2013-11-27
1184973505 Maria G Villasenor Perez Social Worker 1002 W 7th St, San Bernardino, CA 92411 2012-08-30
1003140948 Joe Mawad Obstetrics & Gynecology 1800 Western Ave Ste 204, San Bernardino, CA 92411 2009-09-24
1124255146 Angie Bagheri Cook Pediatrics 565 N. Mount Vernon Ave, San Bernardino, CA 92411 2009-06-17
1770637365 Paul Anthony Tenette Pharmacist Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 2007-01-22
1225117328 Vinod Kumar Kaura Internal Medicine 1800 N Western Ave #303, San Bernardino, CA 92411 2006-11-02
1861582314 Cecilia Talpa Quinones Physician Assistant 565 N. Mount Vernon Ave., San Bernardino, CA 92411 2006-10-13
1710075247 Bramara Arya Pediatrics 1505 W. 17th Street, San Bernardino, CA 92411 2006-10-10
Find all providers in zip 92411

Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225669351 Health Diagnostics of California A Professional Corporation Radiology 225 W Hospitality Ln Ste 100, San Bernardino, CA 92408-3244 2020-01-28
1477872919 Beverly Radiology Medical Group Radiology 800 E Highland Ave, San Bernardino, CA 92404-4006 2010-05-24
1619451168 Medx-imaging Services Radiology 284 E Highland Ave, San Bernardino, CA 92404-3706 2018-09-20
1619327798 Faculty Physicians and Surgeons of Llusm Radiology 250 S G St, San Bernardino, CA 92410-3320 2016-06-20
1063873081 Medx-imaging Services Radiology 1850 S Waterman Ave, Suite F, San Bernardino, CA 92408-2877 2016-03-18
1417324633 Shahnawaz Ansari Radiology 2101 N Waterman Ave, San Bernardino, CA 92404-4836 2015-08-24
1841576097 Walter Alan Osias Radiology 399 E 21st St, San Bernardino, CA 92404-4815 2011-11-01
1083943260 Adam Coen Radiology 399 E 21st St, San Bernardino, CA 92404-4815 2009-12-16
1679735310 Mri Diagnostics Inc Radiology 598 N F St, San Bernardino, CA 92410-3110 2008-06-25
1336325455 Riverside Radiology Medical Group, Inc. Radiology 1884 Business Center Dr, San Bernardino, CA 92408-3457 2008-01-18
Find all providers in SAN BERNARDINO

Competitor

Search similar providers

City SAN BERNARDINO
Zip Code 92411

Improve Information

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Dataset Information

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.

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