RIVERSIDE RADIOLOGY MEDICAL GROUP INC (NPI# 1679574594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679574594 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP INC |
| Practice Address |
12276 Hesperia Rd Ste 6 Victorville CA 92395-5838 |
| Mailing Address |
Po Box 52499 Riverside CA 92517-3499 |
| Practice Telephone | 7608430995 |
| Practice Fax Number | 7608430975 |
| Mailing Telephone | 9517812270 |
| Mailing Fax Number | 9517876628 |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAY KERKAR (CEO) |
| Authorized Official Telephone | 9517812270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
========= | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZZ751532 | 05 | |
| CA | NONE | CG9918 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760901961 | Riverside Radiology Medical Group Inc | Radiology | 1543 Village Way, Mount Shasta, CA 96067-9442 | 2017-09-19 |
| 1467970533 | Riverside Radiology Medical Group Inc | Radiology | 36750 Palmdale Rd, Rancho Mirage, CA 92270-2232 | 2017-09-08 |
| 1699844613 | Riverside Radiology Medical Group Inc | Radiology | 4000 14th Street, Suite 109, Riverside, CA 92501-4083 | 2006-11-06 |
| 1013092394 | Riverside Radiology Medical Group Inc | Radiology | 4500 Brockton Ave, Suite 219, Riverside, CA 92501-4090 | 2006-10-26 |
| 1699776526 | Riverside Radiology Medical Group Inc | Radiology | 4445 Magnolia Ave, Riverside, CA 92501-4135 | 2005-08-02 |
| Street Address |
12276 HESPERIA RD STE 6 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912097957 | Longs Drug Stores California Inc | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-10-13 |
| 1831200963 | Sumitha Rajkumar | Internal Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-08-31 |
| 1023027620 | Longs Drug Store #733/network Pharmacy | Pharmacy | 12276 Hesperia Rd, Victorville, CA 92392 | 2006-08-05 |
| 1992723555 | Renaissance Radiology Medical Group Inc | Radiology | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-07-18 |
| 1811949548 | Desert Valley Medical Group, Inc. | Family Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-17 |
| 1124077698 | Venkamma Reddy | Internal Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114208113 | John Joseph Cerrone | Radiology | 17891 San Gabriel Lane, 7816 Svl Box, Victorville, CA 92395 | 2011-09-02 |
| 1497941264 | Victor Valley Advanced Imaging | Radiology | 15247 Eleventh St, Suite 700, Victorville, CA 92395-3727 | 2007-09-14 |
| 1467647636 | Beverly Radiology Medical Group IIi Dba Victor Valley Advanced Imaging | Radiology | 12677 Hesperia Rd Ste 190, Victorville, CA 92395-7754 | 2007-09-11 |
| 1386909356 | Mary Maunglay | Radiology | 12602 Amargosa Rd, Victorville, CA 92392-7640 | 2012-07-05 |
| 1740507342 | Rahul Nayyar | Radiology | 15248 11th St, Victorville, CA 92395-3704 | 2010-04-23 |
| 1497941421 | Beverly Radiology Medical Group IIi Dba Victor Valley Advanced Imaging | Radiology | 12276 Hesperia Rd Ste 6, Victorville, CA 92395-5838 | 2007-09-24 |
| 1114112372 | Beverly Radiology Medical Group IIi | Radiology | 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395-7777 | 2007-09-11 |
| 1114063294 | Glenn P. Wedeen Md A Medical Corporation | Radiology | 15248 11th St, Victorville, CA 92395-3704 | 2007-01-29 |
| 1275577504 | Glenn P. Wedeen | Radiology | 15248 11th St, Victorville, CA 92395-3704 | 2006-06-16 |
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|---|---|---|---|---|
| 1952902116 | Vesta Telemedicine Solutions, Pllc | Radiology | 833 Americana Way Unit 251, Glendale, CA 91210-1538 | 2020-11-04 |
| 1558960161 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38209 47th St E Ste D, Palmdale, CA 93552-3113 | 2020-10-23 |
| 1003415613 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 38925 Trade Center Dr Unit E, Palmdale, CA 93551-3655 | 2020-10-23 |
| 1083213151 | Antelope Valley Outpatient Imaging Center, LLC | Radiology | 44105 15th St W Ste 100, Lancaster, CA 93534-4090 | 2020-10-20 |
| 1750980967 | Centrelake Medical Group Inc | Radiology | 430 W Stetson Ave, Hemet, CA 92543-7328 | 2020-10-19 |
| 1538775994 | Richard J. Moran | Radiology | 230 S Main St Ste 101, Orange, CA 92868-3851 | 2020-09-21 |
| 1417567710 | Family Medical Diagnostics Inc | Radiology | 19231 Victory Blvd Ste 356, Reseda, CA 91335-6308 | 2020-08-03 |
| 1396365011 | Prodiagnose Inc | Radiology | 7345 Topanga Canyon Blvd # 210, Canoga Park, CA 91303-1244 | 2020-04-22 |
| 1548892276 | Alvarado Radiology Group Inc, A Professional Corporation | Radiology | 13700 Marina Pointe Dr Unit 430, Marina Del Rey, CA 90292-9277 | 2020-02-11 |
| 1710518535 | Health Diagnostics of California A Professional Corporation | Radiology | 1690 Barton Rd Ste 107, Redlands, CA 92373-4230 | 2020-01-30 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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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.