Individual provider Active NPI

Ronald L. Renard, M.D.

  • Allergy & Immunology Physician
  • Redding, CA
National Provider Identifier
1497792436
Registry record updated Jan 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
G36415 Issued in CA
Practice address
1505 Victor Ave
Redding, CA 96003-4031
Phone
(530) 226-5325
Fax
(530) 226-5367
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X G36415 CA Primary
Internal Medicine Physician 207R00000X G36415 CA

Addresses

Primary practice location

1505 Victor Ave
Redding, CA 96003-4031

Mailing address

1505 Victor Ave
Redding, CA 96003-4031
Phone (530) 226-5325

Other identifiers 2

IdentifierTypeStateIssuer
00G364151MedicaidCA
030000564OtherCARAILROAD PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050929001286 CA Practitioner - Internal MedicinePractitioner - Allergy/Immunology 8921033739 Reassigns benefits to 2 organizations
I20180820001447 MN Practitioner - Allergy/Immunology 8921033739 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Creighton University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Duluth Clinic LTDGroup PAC ID 2567374283, 1,135 clinicians

Practice addresses (Care Compare)

400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364

Hospital & facility affiliations

  • Essentia Health Duluth Hospital, Duluth, MN, CCN 240019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G36415CAMDInternal Medicine Physician
36415CAMDPhlebotomy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
The Duluth Clinic LTD Current Accepting new patients
The Duluth Clinic, LTD CurrentSince Aug 16, 2018 Accepting new patients
The Duluth Clinic, LTD. CurrentSince Aug 16, 2018 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
Dignity Health CurrentSince Jun 20, 2007 Accepting new patients
Dignity Health CurrentSince Jun 20, 2007 Accepting new patients

Locations

643 W East Ave
Chico, CA 95926
Phone (530) 342-0502

2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500

310 Hartnell Ave
Ste Ac
Redding, CA 96002
Phone (530) 225-6390

2480 Sonoma St
Redding, CA 96001
Phone (530) 225-6090

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364

Interoperability endpoints

  • Direct secure messaging: rrenard743096@direct.memorialcare.org
  • Direct secure messaging: ronald.renard.1@11920.direct.athenahealth.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1296000000000",
    "number": "1497792436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034031",
            "telephone_number": "530-226-5325",
            "fax_number": "530-226-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 VICTOR AVE",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960034031",
            "telephone_number": "530-226-5325",
            "fax_number": "530-226-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENARD",
        "first_name": "RONALD",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2011-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "G36415",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G36415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G364151",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PROVIDER NUMBER",
            "identifier": "030000564",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.