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Enrollment ID O20230919003689 resolves to a single NPI record. Open the full profile for complete detail.

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NPI · 1740982032 · Active

Radia California Radiology Medical Group INC

Diagnostic Radiology · Santa Rosa, California

Active

NPI

1740982032

Enrollment ID

O20230919003689

Taxonomy

2085R0202X

Type

Part B Supplier - Clinic/Group Practice

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Medicare enrollment

This provider holds 28 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

O20230706001114Clinic/Group PracticeAZ
O20230706002310Clinic/Group PracticeMA
O20230707001154Clinic/Group PracticeFL
O20230712002879Clinic/Group PracticeCA
O20230801004436Clinic/Group PracticeUT
O20230802001807Clinic/Group PracticeHI
O20230908001509Clinic/Group PracticeTX
O20230919003689Clinic/Group PracticeNV
O20231003003028Clinic/Group PracticeDC
O20231016001915Clinic/Group PracticeNY
O20231031003896Clinic/Group PracticeCO
O20231101003202Clinic/Group PracticeMI
O20231108002477Clinic/Group PracticeWA
O20240217000226Clinic/Group PracticeNE
O20240229001716Clinic/Group PracticeAL
O20240325003529Clinic/Group PracticeSC
O20240424004024Clinic/Group PracticeNC
O20240429002057Clinic/Group PracticeMO
O20240528000961Clinic/Group PracticePA
O20240716002196Clinic/Group PracticeOR
O20240911003023Clinic/Group PracticeNJ
O20241223000772Clinic/Group PracticeIN
O20250130001246Clinic/Group PracticeOH
O20250207000214Clinic/Group PracticeGA
O20250407002904Clinic/Group PracticeMT
O20250603002331Clinic/Group PracticeOK
O20250902000147Clinic/Group PracticeME
O20251015001313Clinic/Group PracticeIL

Source: CMS PECOS public enrollment file.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.