CHARLES RENNER, MD (NPI# 1598906968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598906968 |
| Entity Type | Organization |
| Organization Name | CHARLES RENNER, MD |
| Practice Address |
5161 Clayton Rd Suite C Concord CA 94521-3191 |
| Practice Telephone | 9256872200 |
| Practice Fax Number | 9256895608 |
| Mailing Telephone | 9256872200 |
| Mailing Fax Number | 9256895608 |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2009-03-16 |
| Authorized Official Name | DR. CHARLES JOSEPH RENNER (PHYSICIAN) |
| Authorized Official Telephone | 9256872200 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
G67128 | CA | Ambulatory Health Care Facilities |
| Street Address |
5161 CLAYTON RD SUITE C |
| City | CONCORD |
| State | CA |
| Zip Code | 94521-3191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760466312 | Diane B Chandler | Family Medicine | 5161 Clayton Rd, #f, Concord, CA 94521-3191 | 2005-12-06 |
| 1386761880 | Steven L Moon | Chiropractor | 5161 Clayton Rd, Suite E, Concord, CA 94521-3191 | 2007-03-22 |
| 1881726461 | Gene Allen R Herrera | Dentist | 5161 Clayton Rd, Ste B, Concord, CA 94521-3191 | 2007-03-10 |
| 1760519839 | Ladan Bahramnia | Specialist | 5161 Clayton Rd, Suite D2, Concord, CA 94521-3191 | 2007-02-27 |
| 1144397761 | David T Thornton | Dentist | 5161 Clayton Rd, #13, Concord, CA 94521 | 2006-11-29 |
| 1538187133 | John Muir Physician Network | Family Medicine | 5161 Clayton Rd, Suite F, Concord, CA 94521-3191 | 2006-07-18 |
| 1386662641 | Michael S Varon | Family Medicine | 5161 Clayton Rd, Suite F, Concord, CA 94521-3191 | 2006-07-17 |
| 1699708610 | Tanya A Threewitt | Family Medicine | 5161 Clayton Rd, Suite F, Concord, CA 94521-3191 | 2006-07-10 |
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|---|---|---|---|---|
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| 1326436387 | Yolanda Rosemarie Overton | Counselor | 2191 Kirker Pass Road, Concord, CA 94521 | 2014-12-29 |
| 1174872063 | Clayton Valley Charter High School | Local Education Agency (LEA) | 1101 Alberta Way, Concord, CA 94521 | 2012-09-06 |
| 1720365026 | Danielle Liane Allen | Occupational Therapist | 4367 Concord Blvd., Concord, CA 94521 | 2011-11-15 |
| 1003095951 | Bita Louise Matin | Dentist | 1494 Balhan Dr, Concord, CA 94521 | 2007-10-29 |
| 1265567333 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4118 Phoenix St, Concord, CA 94521 | 2007-02-22 |
| 1780729392 | Nic Usa Inc | Intermediate Care Facility, Mentally Retarded | 4160 Phoenix St, Concord, CA 94521 | 2007-02-21 |
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| 1407918576 | Horace Joseph Beach | Psychologist | 1460 Washington Blvd Ste C-6, Concord, CA 94521 | 2006-12-15 |
| Find all providers in zip 94521 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1649586330 | Winfry Evans Whicker | Clinic/Center | 3700 Taylor Glen Ln Nw, #355, Concord, NC 28027-3400 | 2010-08-19 |
| 1518272038 | Taraneh Mostaghasi, Md Inc | Clinic/Center | 3108 Willow Pass Rd, Concord, CA 94519-2325 | 2010-08-09 |
| 1891953568 | Crossroads Family Medicine Pllc | Clinic/Center | 194 Pleasant St Ste 7, Concord, NH 03301-2952 | 2008-05-29 |
| 1679758759 | Cabarrus Family Medicine | Clinic/Center | 270 Copperfield Blvd Ne, Suite 201, Concord, NC 28025-2441 | 2008-01-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.