William A. Renert, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

G140120 Issued in CA

Practice address

7777 Alvarado Road
Suite 108
La Mesa, CA 91941-3645

Phone

(619) 460-2770

Fax

(619) 460-2774

NPI assigned

May 18, 2006

Last updated

May 5, 2008By the provider in NPPES

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• X-Ray Medical Group Inc

  • Diagnostic Radiology Physician
  • La Mesa, CA
  • NPI 1740232776
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209945600000",
    "number": "1982657441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT LA 21657",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911850001",
            "telephone_number": "858-564-1400",
            "fax_number": "858-564-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 ALVARADO ROAD",
            "address_2": "SUITE 108",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919413645",
            "telephone_number": "619-460-2770",
            "fax_number": "619-460-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENERT",
        "first_name": "WILLIAM",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2008-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "G140120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G140120",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G140120",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephen Lee Reitman, MD
• Reliable Medical Transport
• Reliable Medical Transport
• Lee Hyland Remington-Boone, M.D.
• Zhixian Ren
• Clarissa Renteria
• Lyndsey Restelli, MSN, RN, CPNP-PC
• Retina Institute of California
• Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)
• Retina Institute of California Medical Group, a California Medical Par (Acuity Eye Group)

• Diagnostic Radiology Physician in La Mesa, CA
• Providers in La Mesa, 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 May 5, 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.