RENAISSANCE RADIOLOGY MEDICAL GROUP INC. NPI 1023092541

NPI Information

NPI: 1023092541
Provider Name: RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
3865 JACKSON ST
RIVERSIDE, CA
ZIP 92503
Phone: (909) 620-8180
Get Directions

RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Riverside, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RENAISSANCE RADIOLOGY MEDICAL GROUP, INC. NPI is 1023092541. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3865 JACKSON ST
RIVERSIDE, CA
ZIP 92503-919
Phone: (909) 620-8180
Fax: (909) 469-6741

The provider's authorized official is Monika Kief Garcia .
The authorized official title is Ceo President and has the following contact phone number (909) 620-8180.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 6/24/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology	CALIFORNIA	No
2	2085U0001X	Radiology	Diagnostic Ultrasound	CALIFORNIA	No
3	2085R0202X	Radiology	Diagnostic Radiology	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ16498Z	MEDICARE PIN	CALIFORNIA
2	CG1263	OTHER	CALIFORNIA	RAILROAD MEDICARE
3	GR0085393	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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