William H Radentz MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

C504460 Issued in CA

Legal business name

WILLIAM H RADENTZ MD

Practice address

39755 Murrieta Hot Springs Road
Suite A130
Murrieta, CA 92563

Phone

(951) 600-3946

Fax

(951) 304-2203

NPI assigned

Mar 12, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Marie Radentz, MDNPI 1508974767

Title

Executive Officer

Phone

(951) 600-3946

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 2

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

• Leslie Marie Radentz, MD

  • Dermatology Physician
  • Murrieta, CA
  • NPI 1508974767
  NPD (past) Authorized official
• William Henry Radentz, MD

  • Dermatology Physician
  • Murrieta, CA
  • NPI 1083722243
  NPD (past)

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

{
    "created_epoch": "1173657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982736351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS ROAD",
            "address_2": "SUITE A130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-600-3946",
            "fax_number": "951-304-2203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39755 MURRIETA HOT SPRINGS ROAD",
            "address_2": "SUITE A130",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "92563",
            "telephone_number": "951-600-3946",
            "fax_number": "951-304-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM H RADENTZ MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADENTZ",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "951-600-3946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "C504460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00C504460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4227758",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00C504460",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Wilder, DC
• Veronica M Wiley
• Jennifer Brooke Wilkes, D.O
• Ginger Wilkey
• William H Cherry MD Inc
• William H. Cherry MD, Inc.
• William H. Collins Jr
• William M. Kelly M.D., Inc.
• William Pearson
• William S. Hardee Jr. D.M.D., Inc. Friendly Dental Center

• Dermatology Physician in Murrieta, CA
• Providers in Murrieta, CA by specialty
• Dermatology 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.