Active NPI
Reono Bertagnolli a Medical Group
- Diagnostic Radiology Physician
- San Leandro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134424005 | Medicaid | AL | |
| 201331960A | Medicaid | KS | |
| 0695921 | Medicaid | NJ | |
| 1134424005 | Medicaid | VA | |
| 1134424005 | Medicaid | CA | |
| 1134424005 | Medicaid | MI | |
| 281984 | Medicaid | AZ | |
| 0347620 | Medicaid | OH | |
| 1134424005 | Medicaid | NC | |
| 1134424005 | Medicaid | CT | |
| 1134424005 | Medicaid | MO | |
| 371391901 | Medicaid | TX | |
| 003144608A | Medicaid | GA | |
| 1134424005 | Medicaid | IL | |
| 1134424005 | Medicaid | ID | |
| 7100701990 | Medicaid | KY | |
| 1134424005 | Medicaid | NV | |
| 103122841-0002 | Medicaid | PA | |
| 1134424005 | Medicaid | ME | |
| 1134424005 | Medicaid | WA | |
| 229204100 | Medicaid | MD | |
| GP7919 | Medicaid | SC |
Other names 1
- Rely Radiology Group of California
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, ME
Enrollment records 27
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryMember organizations 4
Organizations listed as members of this organization in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Phoenix, AZ
- NPI 1013217769
Member Of
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Hunt Valley, MD
- NPI 1700865094
Member Of
-
- Physiological Laboratory
- Clearwater, FL
- NPI 1932376233
Member Of
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.
-
- Clinical Cardiac Electrophysiology Physician
- Spokane, WA
- NPI 1952315186
CA, ID, WA
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1689671828
AL, CA, CT, FL, GA, KY, MO, NC, NJ, NY, OH, SC, TX
-
- Diagnostic Radiology Physician
- La Habra, CA
- NPI 1548289416
CA, IL, KS, MI, MO, NJ, OH, PA, TX, WA, WI
-
- Interventional Cardiology Physician
- Sherman Oaks, CA
- NPI 1225091812
CA, GA, HI, ID, IL, MI, MO, NC, OH, PA, TX, VA, WA
-
- Diagnostic Radiology Physician
- Pomona, CA
- NPI 1912942749
CA, GA, IL, MI, NC, NJ, OH, PA, TX, WA
-
- Diagnostic Radiology Physician
- Los Alamitos, CA
- NPI 1114969102
CA, NJ, OH, PA, TX, WI
-
- Diagnostic Radiology Physician
- Beverly Hills, CA
- NPI 1558312579
GA, ID, KS, KY, ME, MO, NC, NJ, NY, OH, SC, TX, WI
-
- Diagnostic Radiology Physician
- Tacoma, WA
- NPI 1447691266
GA, OH, SC, TX, WA
-
- Diagnostic Radiology Physician
- Eden Prairie, MN
- NPI 1962512145
CA, IL, MO, NJ, NY, PA, WA
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",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10948 BIGGE ST STE A",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945771121",
"telephone_number": "800-786-8015",
"fax_number": "410-472-1754"
}
],
"practiceLocations": [
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"address_1": "7355 Prairie Falcon Rd",
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"state": "NV",
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"fax_number": "443-842-7264",
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},
{
"address_1": "1960 Chandalar Dr Ste F",
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"telephone_number": "800-786-8015",
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"fax_number": "443-842-7264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10948 Bigge St",
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"state": "CA",
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"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",
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{
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"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",
"telephone_number": "800-786-8015",
"fax_number": "443-842-7264",
"country_name": "United States",
"address_type": "DOM"
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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"
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{
"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",
"address_type": "DOM"
},
{
"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"
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{
"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",
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"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"
},
{
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"telephone_number": "800-786-8015",
"fax_number": "443-842-7264",
"country_name": "United States",
"address_type": "DOM"
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{
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"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",
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"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",
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"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",
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"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": [
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"desc": "MEDICAID",
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"identifier": "1134424005",
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{
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"identifier": "201331960A",
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"identifier": "0695921",
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{
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},
{
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"identifier": "1134424005",
"state": "CA"
},
{
"code": "05",
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},
{
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"identifier": "281984",
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},
{
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"identifier": "0347620",
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{
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{
"code": "05",
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"state": "CT"
},
{
"code": "05",
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"identifier": "1134424005",
"state": "MO"
},
{
"code": "05",
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"issuer": null,
"identifier": "371391901",
"state": "TX"
},
{
"code": "05",
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"issuer": null,
"identifier": "003144608A",
"state": "GA"
},
{
"code": "05",
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"issuer": null,
"identifier": "1134424005",
"state": "IL"
},
{
"code": "05",
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"issuer": null,
"identifier": "1134424005",
"state": "ID"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100701990",
"state": "KY"
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{
"code": "05",
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"issuer": null,
"identifier": "1134424005",
"state": "NV"
},
{
"code": "05",
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"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.