RENATO G RADA MD NPI 1699717306

NPI Information

NPI: 1699717306
Provider Name: RENATO G RADA, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 190 E HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92404
Phone: (909) 882-4968

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NPI Details

Renato G Rada, MD is a family medicine in San Bernardino, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Renato G Rada, MD NPI is 1699717306. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

190 E HIGHLAND AVE
SAN BERNARDINO, CA
ZIP 92404-658
Phone: (909) 882-4968
Fax: (877) 860-7268

The NPI 1699717306 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/10/2006 and was last updated on 3/29/2018.

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 Number	License State	Primary
1	207Q00000X	Family Medicine		A37714	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	00A377140	OTHER	CALIFORNIA	MEDI-CAL
2	00A377140	MEDICAID	CALIFORNIA
3	P01288545/DU4034	OTHER	CALIFORNIA	RAILROAD MEDICARE- SAN BERNARDINO

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: 11/21/2025

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