Renaissance Imaging Medical Associates, Inc.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC.

Practice address

18436 Roscoe Blvd
Northridge, CA 91325-4107

Phone

(818) 435-1400

NPI assigned

May 20, 2006

Last updated

Mar 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen Vaughn

Title

Ao

Phone

(629) 317-1465

Specialties & licenses 6

Addresses

Other identifiers 9

Medicare fee-for-service enrollment

Enrolled in CA, FL, MO, NY, DC, OH, WA, MA, NC, HI, OR, TX, ID, IL, NV, AL, PA, GA, VA, TN, MD, AK, KY, LA, PR, AZ, CT, NH, MN, SC, MI, OK, NJ33 enrollments

Enrollment records 33

Locations

Practitioners 378

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ambika Agarwal, M.D.

  • Radiology Clinic/Center
  • Martinez, CA
  • NPI 1467785246
  Medicare reassignment Care Compare group NPD
• Richard Alberts, MD

  • Diagnostic Radiology Physician
  • Hermosa Beach, CA
  • NPI 1720061211
  Medicare reassignment Care Compare group NPD
• Justin Bick-Forrester, MD

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1205014297
  Medicare reassignment Care Compare group NPD
• Sean Bowman, M.D.

  • Diagnostic Radiology Physician
  • Pasadena, CA
  • NPI 1750732376
  Medicare reassignment Care Compare group NPD
• Daniel Brunengraber, M.D.

  • Diagnostic Radiology Physician
  • Lancaster, CA
  • NPI 1679734990
  Medicare reassignment Care Compare group NPD
• Matthew Carr, M.D.

  • Diagnostic Radiology Physician
  • Ventura, CA
  • NPI 1336202365
  Medicare reassignment Care Compare group NPD
• Jeremy Wong Chin, M.D.

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1700229994

  HI

  Medicare reassignment Care Compare group NPD
• Dianna Chooljian, MD PHD MPH

  • Neuroradiology Physician
  • Long Beach, CA
  • NPI 1902888043
  Medicare reassignment Care Compare group NPD
• Kellie D. Curtis, MD

  • Diagnostic Radiology Physician
  • Northridge, CA
  • NPI 1104985845
  Medicare reassignment Care Compare group NPD
• Mauricio De la Lama, MD

  • Diagnostic Radiology Physician
  • West Hollywood, CA
  • NPI 1669778056
  Medicare reassignment Care Compare group NPD
• Martin Phillip Edwards, M.D.

  • Diagnostic Radiology Physician
  • Los Angeles, CA
  • NPI 1457641086

  HI

  Medicare reassignment Care Compare group NPD
• Jennifer Rae Foley, M.D.

  • Diagnostic Radiology Physician
  • San Diego, CA
  • NPI 1215277108
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1487608931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 85491",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18436 ROSCOE BLVD",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913254107",
            "telephone_number": "818-435-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE IMAGING MEDICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "629-317-1465"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ33823Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG2517",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086071",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69508Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0086070",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ59788Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65767Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ65816Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ67806Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nida Rioga Relativo, D.D.S.
• Reliable Pharmacy
• Qianfang Ren, M.D.
• Renaissance Detox Center
• Renaissance Detox Center
• Renee Dua MD, a Professional Medical Corporation
• Michele Leann Renfrow, PSY.D.
• Edwin Requeno
• Sophia Retta
• Gustavo Reveles

• Diagnostic Radiology Physician in Northridge, CA
• Providers in Northridge, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.