PENRAD IMAGING LLC
NPI 1861098907
Radiology - Diagnostic Radiology in Walnut Creek, CA

Active since December 04, 2020
1225 CLOVER LN, WALNUT CREEK, CA 94595(719) 593-1799(719) 265-3794 Get Directions Write a Review

NPPES record last updated: January 12, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 12, 2021, Dec 4, 2020 (2 updates tracked since 2020).

About Penrad Imaging Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PENRAD IMAGING LLC (NPI 1861098907) is a healthcare organization registered as a diagnostic radiology in Walnut Creek, California and active in the NPI registry since December 2020. The organization lists Renee Ward, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861098907
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePENRAD IMAGING LLC
Location Address1225 CLOVER LNWalnut Creek, CA 94595-1409
Mailing AddressPo Box 2989Colorado Springs, CO 80901-2989 · (719) 593-1799 · Fax (719) 265-3794
Fax(719) 265-3794
Organization SubpartNo
Authorized OfficialRenee WardCeo · (719) 265-3765
Enumeration DateDecember 4, 2020
Last NPPES UpdateJanuary 12, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2021
✔ NPI 1861098907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
1225 CLOVER LN, Walnut Creek, CA 94595

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Penrad Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Penrad Imaging LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Diagnostic Radiology
NPI 1922418797
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare32 mi
Diagnostic Radiology
NPI 1073000295
300 PASTEUR DR
Stanford, CA 94305
(650) 723-4000
✔ PECOS✔ Accepts Medicare32 mi
Diagnostic Radiology
NPI 1649809625
757 WESTWOOD PLZ
Los Angeles, CA 90095
(310) 301-6800
✔ PECOS✔ Accepts Medicare333 mi
Diagnostic Radiology
NPI 1205058849
2222 N NEVADA AVE
Colorado Springs, CO 80907
(719) 776-5000
✔ PECOS✔ Accepts Medicare937 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Penrad Imaging LLC's NPI number?

The NPI number for Penrad Imaging LLC is 1861098907. It was assigned to this organization in the NPPES registry on December 4, 2020.

Where is Penrad Imaging LLC located?

Penrad Imaging LLC is located at 1225 Clover Ln, Walnut Creek, CA 94595. The listed phone number is (719) 593-1799.

What is Penrad Imaging LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Penrad Imaging LLC enrolled in Medicare?

Yes. Penrad Imaging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Penrad Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Penrad Imaging LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Penrad Imaging LLC was last updated on January 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.