Provider Type Icon

DR. JOHNSON BENJAMIN LIGHTFOOTE M.D. NPI 1083696637


NPI Information

NPI: 1083696637
Provider Name: DR. JOHNSON BENJAMIN LIGHTFOOTE, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: POMONA VALLEY IMAGING MEDICAL GROUP INC

PECOS Registration: Yes

Address:
1798 N GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 865-9535
Get Directions

DR. Johnson Benjamin Lightfoote, M.D. is a diagnostic radiology radiology in Pomona, CA with 48 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Johnson Benjamin Lightfoote, M.D. NPI is 1083696637. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: HARVARD MEDICAL SCHOOL
Graduation Year:1976

The provider's business location address is:

1798 N GAREY AVE
POMONA, CA
ZIP 91767
Phone: (909) 865-9535
Fax: (909) 630-7394

The NPI 1083696637 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • X-ray of chest, 1 view, front (HCPCS:71010)
  • CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • CT scan of abdomen and pelvis (HCPCS:74176)
  • X-ray of abdomen, single view (HCPCS:74000)
  • X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers (HCPCS:93970)
  • Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)
  • Ultrasound of head and neck (HCPCS:76536)
  • Bone and/or joint imaging, whole body (HCPCS:78306)

The enumeration date for this NPI number is 11/18/2005 and was last updated on 6/11/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085N0700XRadiologyNeuroradiologyG39456CALIFORNIANo
22085R0202XRadiologyDiagnostic RadiologyG39456CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1200500078OTHERNORTH CAROLINASTATE MEDICAL LICENSE
2AL 8043OTHERALABAMASTATE MEDICAL LICENSE
3ME 90724OTHERFLORIDASTATE MEDICAL LICENSE
4A92087MEDICARE UPIN
5G39456OTHERCALIFORNIASTATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.