John Michael Rennick, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G16780 Issued in CA

Practice address

3031 Tisch Way
Ste 400
San Jose, CA 95128-2541

Phone

(408) 244-2100

Fax

(408) 244-6596

NPI assigned

Jun 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Valley Radiologist Medical Associates

  • Magnetic Resonance Imaging Radiologic Technologist
  • San Mateo, CA
  • NPI 1629292297
  NPD (past)
• Valley Radiology Medical Associates, Inc.

  • Radiology Clinic/Center
  • San Jose, CA
  • NPI 1396703179
  NPD (past)

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1699717298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY",
            "address_2": "STE 400",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282541",
            "telephone_number": "408-244-2100",
            "fax_number": "408-244-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 TISCH WAY",
            "address_2": "STE 400",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951282541",
            "telephone_number": "408-244-2100",
            "fax_number": "408-244-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNICK",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G16780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G167800",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yahir Rendon-Guerra
• Raymond Rudolph Rendon, B.C.O.
• Claudia Renfro
• Whitney Catherine Anne Renggli
• Maria A Renic, HSW, LCSW
• Lori A Renois, RN
• Ruth S Rensel, AMFT
• Bryce Renshaw, D.C.
• Herlinda Sarai Renteria Navarro
• Renae Renteria, CMT

• Specialist in San Jose, CA
• Providers in San Jose, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.