Mauricio De La Lama (NPI# 1669778056, PAC ID# 3577727445) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1669778056 |
| PAC ID by PECOS | 3577727445 |
| Professional Enrollment ID | I20120606000372 |
| Full Name | Mauricio De La Lama |
| Organization Legal Name | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Address |
16850 Bear Valley Rd Victorville CA 92395-5794 |
| Phone Number | 7602418000 |
| Gender | M |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 2006 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7315841756 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050235 | PROVIDENCE SAINT JOSEPH MEDICAL CTR |
| 051333 | RIDGECREST REGIONAL HOSPITAL |
| 050135 | SOUTHERN CALIFORNIA HOSPITAL AT HOLLYWOOD |
| 050471 | GOOD SAMARITAN HOSPITAL |
| 050063 | HOLLYWOOD PRESBYTERIAN MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 7602418000 | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 86% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 97% |
| Organization Legal Name | RENAISSANCE IMAGING MEDICAL ASSOCIATES INC |
| Physicians | 108 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jaryd Yee | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 192 W Lanai St, Kahului, HI 96732-2817 |
| Larry R Sadler | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 136 Kai La Pl, Kihei, HI 96753-6508 |
| Alan A Alexander | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 578 Washington Blvd, Suite 948, Marina Del Rey, CA 90292-5442 |
| Robert Palmer Stecher | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 130 Sepulveda Blvd Unit, Suite 306, Los Angeles, CA 90049-3153 |
| John Swift | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 10750 Wilshire Blvd, Apt 702, Los Angeles, CA 90024-4470 |
| Harun Ozer | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 2788 Paloma St, Pasadena, CA 91107-2741 |
| Steven A Newman | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 149 Kawika Pl, Honolulu, HI 96822-5006 |
| Turgut Berkmen | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 100 Keokea Pl, Kula, HI 96790-7450 |
| Gary L Wade | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 484 Snider Dr, Walla Walla, WA 99362-8075 |
| Chao-hsu J Liu | Diagnostic Radiology | Renaissance Imaging Medical Associates Inc | 6506 Sunnyland Ln, Dallas, TX 75214-3123 |
| Street Address |
16850 BEAR VALLEY RD |
| City | VICTORVILLE |
| State | CA |
| Zip | 92395-5794 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Neel Kapasi | Cardiovascular Disease (cardiology) | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Jessica Camilla Smith | Nurse Practitioner | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Neera Grover | Gastroenterology | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Sara Baghaei | Physician Assistant | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Jose Manuel Ortega | Nurse Practitioner | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Samir Nayyar | Orthopedic Surgery | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Soe T Maunglay | Hematology/oncology | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Rohitkumar R Trivedi | Thoracic Surgery | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Venkamma Reddy | Internal Medicine | Desert Valley Medical Group Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Christine C Chow | Anesthesiology | M Ilbeigi and Assoc Md Inc | 16850 Bear Valley Rd, Victorville, CA 92395-5794 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nogba Pawoo | Pathology | High Desert Pathology Medical Group | 15248 11th St E, Department of Pathology, Victorville, CA 92395-3704 |
| Brian M Coombe | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Dee M Larcheveque | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Orlando Ricci | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Richard M Obler | Family Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Chang-ho L Chon | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Lisa Rogers | Nurse Practitioner | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Monica D Serna | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Michael R Manolescu | Emergency Medicine | Apex Emergency Medical Group Inc | 15248 11th St, Victorville, CA 92395-3704 |
| Jie Ren | Anesthesiology | Golden State Anesthesia Consultants, Inc. | 15248 11th St, Victorville, CA 92395-3704 |
| Find all physicians in zip 92395 | |||
| City | VICTORVILLE |
| Zip Code | 92395 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | VICTORVILLE + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Mauricio De La Lama.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.