Renaissance Radiology Medical Group, Inc.

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

Legal business name

RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.

Practice address

5470 Jefferson Ave
Chino, CA 91710-3517

Phone

(909) 620-8180

Fax

(909) 469-6741

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Linda Kaufman

Title

Office Manager

Phone

(909) 620-8180

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Larry Eugene Menestrina, DO

  • Diagnostic Radiology Physician
  • West Palm Beach, FL
  • NPI 1902873532
  NPD (past)

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821019472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 ROYALTY DR",
            "address_2": "SUITE 220",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917673030",
            "telephone_number": "909-620-8180",
            "fax_number": "909-469-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 JEFFERSON AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103517",
            "telephone_number": "909-620-8180",
            "fax_number": "909-469-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE RADIOLOGY MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAUFMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-620-8180",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Body Imaging",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0008539E",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sudhir K Reddy, M.D.
• Bradlianne Reighter, LCSW
• Reminiscence Hospice Inc
• Renaissance Radiology Medical Group, Inc
• Renaissance Radiology Medical Group, Inc.
• Darwin Reola
• Reproductive Health Centers Inc
• Resilience Within Licensed Clinical Social Worker
• Reslience Within Jeannie Tse
• Rosario Retino, MD FACP

• Body Imaging Physician in Chino, CA
• Providers in Chino, CA by specialty
• Body Imaging Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.