Renaissance ASC, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RENAISSANCE ASC, LLC

Practice address

44139 Monterey Ave Ste B
Palm Desert, CA 92260-8700

Phone

(760) 773-4411

Fax

(760) 773-2393

NPI assigned

Jan 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michael Samuel, M.D.NPI 1730175670

Title

Medical Director

Phone

(760) 773-4411

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

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

• Michael A Samuel, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Palm Desert, CA
  • NPI 1730175670
  NPD (past) Authorized official
• Rebecca Lynne Chait, M.D.

  • Ophthalmology Physician
  • Palm Desert, CA
  • NPI 1588083547
  NPD (past)
• Tom S Chang, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pasadena, CA
  • NPI 1609848969
  NPD (past)
• Michael J Davis, MD

  • Retina Specialist (Ophthalmology) Physician
  • Pomona, CA
  • NPI 1437320785
  NPD (past)
• Sanjeev Grewal, M.D.

  • Ophthalmology Physician
  • Palm Springs, CA
  • NPI 1972573103
  NPD (past)
• Lily F Lee, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Pasadena, CA
  • NPI 1730311226
  NPD (past)
• Hannah Marie Mirasol Muniz Castro, MD

  • Cornea and External Diseases Specialist Physician
  • La Quinta, CA
  • NPI 1932632742
  NPD (past)
• Gerald R Schultz, MD

  • Ophthalmology Physician
  • Yucca Valley, CA
  • NPI 1942293543
  NPD (past)
• Vitaliy Zak, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Palm Desert, CA
  • NPI 1669566535
  NPD (past)

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555372800000",
    "number": "1295072049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700",
            "telephone_number": "760-773-4411",
            "fax_number": "760-773-2393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44139 MONTEREY AVE STE B",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922608700",
            "telephone_number": "760-773-4411",
            "fax_number": "760-773-2393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ASC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2019-04-16",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-773-4411",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roland D Reinhart, M.D.
• Wendy M Reitz, ARNP-C
• Reliance Hospice, Inc.
• Reliance Hospice, Inc.
• Tong Ren
• Carol Renke, MD
• Retina Institute of California Medical Group
• Retina Institute of California Medical Group
• Retina Institute of California Medical Group, a California Medical Par
• Jennifer Reyes Rivas

• Ambulatory Surgical Clinic/Center in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.