Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ronald J Otto, MD

Individual provider Diagnostic Radiology Physician · NPI 1710988647

Ronald J Otto, MD is a Diagnostic Radiology in Riverside, California. Graduated from University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb) in 1982, 44 years ago. Practices with Desert Advanced Imaging Medical Center, a 205-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
44
Trained at
University of Illinois College of Med (CHI/PEOR/ROCK/Chm-Urb)
Licensed in
CA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone: (951) 788-3400
Fax: (951) 788-3194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence G51511 (CA)

Record details

NPI number1710988647
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 2, 2005
Last updated in NPPESJune 16, 2008
Mailing addressPo Box 15648, Sacramento, CA 95852-0648

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduated 1982 (44 years in practice)
Group practice Desert Advanced Imaging Medical Center — 205 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations20 on file with Medicare

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