RIVERSIDE RADIOLOGY MEDICAL GROUP INC. NPI 1982605432

NPI Information

NPI: 1982605432
Provider Name: RIVERSIDE RADIOLOGY MEDICAL GROUP, INC.
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
18300 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 242-2311
Get Directions

RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. is a diagnostic radiology radiology in Apple Valley, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. NPI is 1982605432. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

18300 US HIGHWAY 18
APPLE VALLEY, CA
ZIP 92307-206
Phone: (760) 242-2311
Fax: (760) 242-3306

The provider's authorized official is Donald R. Massee .
The authorized official title is President and has the following contact phone number (951) 781-2270.

The enumeration date for this NPI number is 8/9/2005 and was last updated on 4/20/2008.

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 Number	License State	Primary
1	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
1	ZZZ17309Z	MEDICARE PIN	CALIFORNIA
2	GR0104280	MEDICAID	CALIFORNIA
3	CG9918	MEDICARE PIN	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

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