Organization Active NPI

Reono Bertagnolli a Medical Group

  • Diagnostic Radiology Physician
  • San Leandro, CA
National Provider Identifier
1134424005
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
REONO BERTAGNOLLI A MEDICAL GROUP
Practice address
10948 Bigge St Ste a
San Leandro, CA 94577-1121
Phone
(800) 786-8015
Fax
(410) 472-1754
NPI assigned
Jan 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian C Cuomo
Title
Authorized Official, Cfo
Phone
(800) 786-8015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

10948 Bigge St Ste a
San Leandro, CA 94577-1121

Mailing address

215 Schilling Cir Ste 114
Hunt Valley, MD 21031-1113
Phone (800) 786-8015

Other practice location 1

7355 Prairie Falcon Rd
Las Vegas, NV 89128-0801
Phone (800) 786-8015

Other practice location 2

1960 Chandalar Dr Ste F
Pelham, AL 35124-4323
Phone (800) 786-8015

Other practice location 3

5766 Carmichael Pkwy
Montgomery, AL 36117-2351
Phone (800) 786-8015

Other practice location 4

10948 Bigge St
San Leandro, CA 94577-1121
Phone (800) 786-8015

Other practice location 5

1001 Virginia Ave Ste 302
Hapeville, GA 30354-1367
Phone (800) 786-8015

Other practice location 6

7700 Brush Hill Rd
Burr Ridge, IL 60527-7544
Phone (630) 521-1010

Other practice location 7

9110 Leesgate Rd Ste 6
Louisville, KY 40222-5053
Phone (800) 786-8015

Other practice location 8

11012 Lin Valle Dr Ste G
Saint Louis, MO 63123-7217
Phone (800) 786-8015

Other practice location 9

115 Gibraltar Rd
Horsham, PA 19044-2303
Phone (800) 786-8015

Other practice location 10

333 W Brown Deer Rd Ste R
Fox Point, WI 53217-2370
Phone (800) 786-8015

Other practice location 11

460 Smith St Ste A
Middletown, CT 06457-1594
Phone (800) 786-8015

Other practice location 12

891 Brighton Ave Ste 3
Portland, ME 04102-1056
Phone (800) 786-8015

Other practice location 13

3801 Computer Dr Ste 103A
Raleigh, NC 27609-6506
Phone (800) 786-8015

Other practice location 14

133 Fleming St
Piscataway, NJ 08854-3350
Phone (800) 786-8015

Other practice location 15

70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Phone (800) 786-8015

Other practice location 16

2116 Dabney Rd Ste A1
Richmond, VA 23230-3341
Phone (800) 786-8015

Other practice location 17

7776 S Pointe Pkwy W Ste 150
Phoenix, AZ 85044-5427
Phone (800) 786-8015 ext. 76191

Other practice location 18

21900 Melrose Ave Ste 1
Southfield, MI 48075-7967
Phone (800) 786-8015

Other practice location 19

2505 Lord Baltimore Dr Ste E
Windsor Mill, MD 21244-2673
Phone (800) 786-8015

Other practice location 20

3418 Midcourt Rd Ste 105
Carrollton, TX 75006-4944
Phone (800) 786-8015

Other practice location 21

3223 Sunset Blvd Ste 100
West Columbia, SC 29169-3200
Phone (800) 786-8015

Other practice location 22

10580 Barkley St Ste 415
Overland Park, KS 66212-1850
Phone (800) 786-8015

Other practice location 23

1620 Northwest Blvd Ste 202
Coeur D Alene, ID 83814-2488
Phone (800) 786-8015

Other practice location 24

1134 Industry Dr
Tukwila, WA 98188-4803
Phone (800) 786-8015

Other practice location 25

95-202 Halepio Pl
Mililani, HI 96789-5552
Phone (800) 786-8015

Other practice location 26

2550 Corporate Exchange Dr Ste 15
Columbus, OH 43231-1660
Phone (800) 786-8015

Other practice location 27

4400 140th Ave N Ste 200-230
Clearwater, FL 33762-3832
Phone (800) 786-8015

Other practice location 28

2502 E University Dr Ste 290
Phoenix, AZ 85034-6932
Phone (800) 786-8015

Other identifiers 22

IdentifierTypeStateIssuer
1134424005MedicaidAL
201331960AMedicaidKS
0695921MedicaidNJ
1134424005MedicaidVA
1134424005MedicaidCA
1134424005MedicaidMI
281984MedicaidAZ
0347620MedicaidOH
1134424005MedicaidNC
1134424005MedicaidCT
1134424005MedicaidMO
371391901MedicaidTX
003144608AMedicaidGA
1134424005MedicaidIL
1134424005MedicaidID
7100701990MedicaidKY
1134424005MedicaidNV
103122841-0002MedicaidPA
1134424005MedicaidME
1134424005MedicaidWA
229204100MedicaidMD
GP7919MedicaidSC

Other names 1

  • Rely Radiology Group of California Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, GA, HI, DC, WA, ID, TX, IL, FL, MO, VA, NC, MD, AZ, NV, PA, OH, AL, KS, CT, SC, NJ, MI, WI, NY, KY, ME27 enrollments

Enrollment records 27

Enrollment IDStateProvider typePAC IDDetails
O20050523000679 CA Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 24 practitioners
Practice locations: Manteca, CA; Oceanside, CA; San Leandro, CA
O20130628000384 GA Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 28 practitioners
Practice locations: Hapeville, GA
O20130701000021 HI Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 9 practitioners
Practice locations: Mililani, HI
O20130701000644 DC Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 7 practitioners
Practice locations: Windsor Mill, MD
O20130716000222 WA Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 22 practitioners
Practice locations: Tukwila, WA
O20131112001167 ID Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 7 practitioners
Practice locations: Coeur D Alene, ID
O20140106000489 TX Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 40 practitioners
Practice locations: Carrollton, TX
O20140429001796 IL Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 26 practitioners
Practice locations: Burr Ridge, IL
O20140502001387 FL Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 16 practitioners
Practice locations: Clearwater, FL
O20140509001165 MO Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 22 practitioners
Practice locations: Saint Louis, MO
O20140617000535 VA Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 10 practitioners
Practice locations: Richmond, VA
O20140617000698 NC Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 20 practitioners
Practice locations: Raleigh, NC
O20140630000822 MD Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 9 practitioners
Practice locations: Windsor Mill, MD
O20140703002077 AZ Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 3 practitioners
Practice locations: Phoenix, AZ
O20150312002743 NV Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 2 practitioners
Practice locations: Las Vegas, NV
O20160411000880 PA Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 32 practitioners
Practice locations: Horsham, PA
O20160425001665 OH Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 37 practitioners
Practice locations: Columbus, OH
O20160829002949 AL Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 8 practitioners
Practice locations: Montgomery, AL
O20160908002114 KS Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 14 practitioners
Practice locations: Overland Park, KS
O20160929000671 CT Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 9 practitioners
Practice locations: Middletown, CT
O20161012001554 SC Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 11 practitioners
Practice locations: West Columbia, SC
O20161017000579 NJ Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 48 practitioners
Practice locations: Piscataway, NJ
O20170525002187 MI Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 8 practitioners
Practice locations: Southfield, MI
O20170809003073 WI Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 12 practitioners
Practice locations: Fox Point, WI; Middleton, WI
O20180502002269 NY Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 23 practitioners
Practice locations: Valley Stream, NY
O20180515003163 KY Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 11 practitioners
Practice locations: Louisville, KY
O20200721003503 ME Part B Supplier - Clinic/Group Practice 6800709783 Receives reassigned benefits from 8 practitioners
Practice locations: Portland, ME

National Provider Directory

National Provider Directory

Member organizations 4

Organizations listed as members of this organization in the National Provider Directory.

Locations

16502 Lawson Rd
Little Rock, AR 72210
Phone (501) 225-2700

13005 Stacy Ln
Little Rock, AR 72211
Phone (501) 221-8661

2538 E University Dr
Ste F220
Phoenix, AZ 85034
Phone (602) 281-4221

1000 S Anaheim Blvd
Ste 203
Anaheim, CA 92805

18822 Beach Blvd
Ste 207
Huntington Beach, CA 92648

965 E Yosemite Ave
Ste 24
Manteca, CA 95336
Phone (209) 239-0210

10948 Bigge St
Ste A
San Leandro, CA 94577

3228 University Ave
Ste 104
Columbus, GA 31907
Phone (706) 653-1909

25 S 15th St
Ste 2A
Council Bluffs, IA 51501
Phone (712) 352-1594

1620 Northwest Blvd
Ste 202
Coeur D Alene, ID 83814
Phone (208) 930-0804

7501 N University St
Peoria, IL 61614
Phone (306) 361-2124

10580 Barkley St
Ste 415
Shawnee Mission, KS 66212
Phone (267) 532-5146

109 Rhode Island Rd
Ofc F
Lakeville, MA 02347

109 Rhode Island Rd
Ofc First
Lakeville, MA 02347

2505 Lord Baltimore Dr
Ste E
Windsor Mill, MD 21244
Phone (410) 295-3565

21900 Melrose Ave
Ste 1
Southfield, MI 48075
Phone (248) 353-1155

133 Fleming St
Piscataway, NJ 08854
Phone (732) 264-8878

25700 Science Park Dr
Ste 180
Beachwood, OH 44122
Phone (215) 628-4000

101 Rock Rd
Horsham, PA 19044
Phone (215) 442-0660

1310 Haviland Cir
Columbia, SC 29210
Phone (800) 940-3089

3424 Midcourt Rd
Ste 120
Carrollton, TX 75006
Phone (214) 762-6392

333 W Brown Deer Rd
Ste R
Fox Point, WI 53217
Phone (414) 351-8430

Practitioners 91

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 91

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773100800000",
    "number": "1134424005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 SCHILLING CIR STE 114",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311113",
            "telephone_number": "800-786-8015"
        },
        {
            "country_code": "US",
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            "address_purpose": "LOCATION",
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            "telephone_number": "800-786-8015",
            "fax_number": "410-472-1754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7355 Prairie Falcon Rd",
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            "fax_number": "443-842-7264",
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        {
            "address_1": "1960 Chandalar Dr Ste F",
            "address_purpose": "LOCATION",
            "city": "Pelham",
            "state": "AL",
            "postal_code": "351244323",
            "country_code": "US",
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            "fax_number": "443-842-7264",
            "country_name": "United States",
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        },
        {
            "address_1": "5766 Carmichael Pkwy",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
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            "country_code": "US",
            "telephone_number": "800-786-8015",
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            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10948 Bigge St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945771121",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Virginia Ave Ste 302",
            "address_purpose": "LOCATION",
            "city": "Hapeville",
            "state": "GA",
            "postal_code": "303541367",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7700 Brush Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Burr Ridge",
            "state": "IL",
            "postal_code": "605277544",
            "country_code": "US",
            "telephone_number": "630-521-1010",
            "fax_number": "602-343-5856",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9110 Leesgate Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402225053",
            "country_code": "US",
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            "fax_number": "443-842-7264",
            "country_name": "United States",
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        },
        {
            "address_1": "11012 Lin Valle Dr Ste G",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631237217",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "115 Gibraltar Rd",
            "address_purpose": "LOCATION",
            "city": "Horsham",
            "state": "PA",
            "postal_code": "190442303",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 W Brown Deer Rd Ste R",
            "address_purpose": "LOCATION",
            "city": "Fox Point",
            "state": "WI",
            "postal_code": "532172370",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
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        },
        {
            "address_1": "460 Smith St Ste A",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "CT",
            "postal_code": "064571594",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "891 Brighton Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "ME",
            "postal_code": "041021056",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Computer Dr Ste 103A",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276096506",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "133 Fleming St",
            "address_purpose": "LOCATION",
            "city": "Piscataway",
            "state": "NJ",
            "postal_code": "088543350",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "70 E Sunrise Hwy Ste 500",
            "address_purpose": "LOCATION",
            "city": "Valley Stream",
            "state": "NY",
            "postal_code": "115811233",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2116 Dabney Rd Ste A1",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303341",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7776 S Pointe Pkwy W Ste 150",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850445427",
            "country_code": "US",
            "telephone_number": "800-786-8015 x76191",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21900 Melrose Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Southfield",
            "state": "MI",
            "postal_code": "480757967",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2505 Lord Baltimore Dr Ste E",
            "address_purpose": "LOCATION",
            "city": "Windsor Mill",
            "state": "MD",
            "postal_code": "212442673",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3418 Midcourt Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750064944",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3223 Sunset Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291693200",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10580 Barkley St Ste 415",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662121850",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 Northwest Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Coeur D Alene",
            "state": "ID",
            "postal_code": "838142488",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1134 Industry Dr",
            "address_purpose": "LOCATION",
            "city": "Tukwila",
            "state": "WA",
            "postal_code": "981884803",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "95-202 Halepio Pl",
            "address_purpose": "LOCATION",
            "city": "Mililani",
            "state": "HI",
            "postal_code": "967895552",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 Corporate Exchange Dr Ste 15",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432311660",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 140th Ave N Ste 200-230",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337623832",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2502 E University Dr Ste 290",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850346932",
            "country_code": "US",
            "telephone_number": "800-786-8015",
            "fax_number": "443-842-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REONO BERTAGNOLLI A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A",
        "authorized_official_last_name": "CUOMO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL, CFO",
        "authorized_official_telephone_number": "800-786-8015"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201331960A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0695921",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "281984",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347620",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371391901",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003144608A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100701990",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103122841-0002",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134424005",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "229204100",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP7919",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rely Radiology Group of California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.