RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. (NPI# 1700261765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700261765 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE RADIOLOGY MEDICAL GROUP, INC. |
| Practice Address |
400 Warren Dr Apt. 4 San Francisco CA 94131-1075 |
| Mailing Address |
1660 Chicago Ave M-9 Riverside CA 92507-2068 |
| Practice Telephone | 5594554065 |
| Practice Fax Number | 7706669102 |
| Mailing Telephone | 5594554065 |
| Mailing Fax Number | 7706669102 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |
| Authorized Official Name | DONALD RAY MASSEE (PRESIDENT) |
| Authorized Official Telephone | 5594554065 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A112768 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1194979856 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700252467 | Riverside Radiology Medical Group, Inc. | Radiology | 30700 E Sunset Dr S, Redlands, CA 92373-7448 | 2015-08-18 |
| 1982028486 | Riverside Radiology Medical Group, Inc. | Radiology | 1660 Chicago Ave, Suite # M-9, Riverside, CA 92507-2068 | 2014-02-05 |
| 1851694699 | Riverside Radiology Medical Group, Inc. | Radiology | 338 Lowell Ave, Mill Valley, CA 94941-3845 | 2010-12-17 |
| 1457653206 | Riverside Radiology Medical Group, Inc. | Radiology | 3651 Laketree Dr, Fallbrook, CA 92028-9404 | 2010-11-30 |
| 1619278348 | Riverside Radiology Medical Group, Inc. | Radiology | 9 Tesoro, Newport Coast, CA 92657-1214 | 2010-11-11 |
| 1932409703 | Riverside Radiology Medical Group, Inc. | Radiology | 104 Ormskirk, Williamsburg, VA 23188-8941 | 2010-10-27 |
| 1518267384 | Riverside Radiology Medical Group, Inc. | Radiology | 7410 Yonie Ct, Las Vegas, NV 89117-2159 | 2010-10-27 |
| 1669772448 | Riverside Radiology Medical Group, Inc. | Radiology | 1 Meadowbrook Rd, Franklin, MA 02038-1133 | 2010-10-27 |
| 1003116872 | Riverside Radiology Medical Group, Inc. | Radiology | 30000 Santiago Rd, Temecula, CA 92592-5115 | 2010-10-27 |
| 1932409794 | Riverside Radiology Medical Group, Inc. | Radiology | 12700 Centerville Rd, Chico, CA 95928-8328 | 2010-10-27 |
| Street Address |
400 WARREN DR APT. 4 |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94131-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851930689 | Lynda Mcpherson | Massage Therapist | 30 Monterey Blvd., San Francisco, CA 94131 | 2019-12-26 |
| 1538695473 | Kylie E Rowe | Physical Therapist | 94 Sussex St, San Francisco, CA 94131 | 2017-05-11 |
| 1609269471 | Kristen Lauters | Behavioral Analyst | 36 A Monterey Blvd, San Francisco, CA 94131 | 2015-03-18 |
| 1780076448 | Michael Smith | Pediatrics | Ucsf Pediatrics, 550 16th St Fl 4, San Francisco, CA 94131 | 2015-03-04 |
| 1205254919 | Sean Kleiman | Behavioral Analyst | 1 Crestline Dr., Unit 1, San Francisco, CA 94131 | 2014-03-31 |
| 1508137167 | Aaron Nystedt | Behavioral Analyst | 36 Monterey Blvd, Suite A, San Francisco, CA 94131 | 2012-01-13 |
| 1841578127 | Amy Lynn Litvin | Registered Nurse | 225 30th St - On Lok Lifeways, 2nd Floor, San Francisco, CA 94131 | 2011-08-03 |
| 1104111020 | Margarite Leah Morch | Marriage & Family Therapist | 18 Whitney Street, San Francisco, CA 94131 | 2011-06-20 |
| 1063744845 | Integrated Pain Care | Preferred Provider Organization | 2 Mercato Court, San Francisco, CA 94131 | 2010-02-04 |
| 1760715031 | Natalie Dominiques Rodrigues | Massage Therapist | 605 Chenery St., Suite C., San Francisco, CA 94131 | 2009-09-17 |
| Find all providers in zip 94131 | ||||
| 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 |
|---|---|---|---|---|
| 1861995425 | Solano Diagnostics Partners, A Calif Limited Partnership | Radiology | 871 Lawton St, San Francisco, CA 94122-3541 | 2018-03-09 |
| 1144759697 | Iv Radiology Medical Group | Radiology | 1200 4th St Apt 426, San Francisco, CA 94158-2440 | 2017-06-08 |
| 1124559356 | Robert Earl Burky IIi | Radiology | 513 Parnassus Ave. S-321, Uscf - Department of Surgery, San Francisco, CA 94143-0470 | 2017-03-21 |
| 1487108403 | Stockdale Radiology Physician Services, Inc | Radiology | 1020 Francisco St, San Francisco, CA 94109-1127 | 2016-08-08 |
| 1780070508 | Maya Vella | Radiology | 513 Parnassus Ave Rm S257a, San Francisco, CA 94143-2205 | 2015-04-08 |
| 1932598737 | Brian Trinh | Radiology | 513 Parnassus Ave # S257a, San Francisco, CA 94143-2205 | 2015-01-16 |
| 1164836607 | Marc-fernand Erian | Radiology | 1600 Divisadero St Rm C256, San Francisco, CA 94143-3010 | 2014-06-12 |
| 1770993271 | Ashley Lee | Radiology | 513 Parnassus Ave. Rm S-261, San Francisco, CA 94143-2205 | 2014-05-06 |
| 1194144170 | Sean Kelley | Radiology | 513 Parnassus Ave Ste S-261, San Francisco, CA 94143-2205 | 2014-04-07 |
| 1609219633 | Christopher Stewart Goettl | Radiology | 1801 Wedemeyer St, Unit 004, San Francisco, CA 94129-5274 | 2013-04-09 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94131 |
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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.