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MERCED RADIOLOGY MEDICAL GROUP NPI 1992796643


NPI Information

NPI: 1992796643
Provider Name: MERCED RADIOLOGY MEDICAL GROUP
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
731 E YOSEMITE AVE
SUITE B-170
MERCED, CA
ZIP 95340
Phone: (209) 342-2300
Get Directions

MERCED RADIOLOGY MEDICAL GROUP is a diagnostic radiology radiology in Merced, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MERCED RADIOLOGY MEDICAL GROUP NPI is 1992796643. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

731 E YOSEMITE AVE
SUITE B-170
MERCED, CA
ZIP 95340-039
Phone: (209) 342-2300
Fax: (209) 524-4240

The provider's authorized official is Mark A Wagner .
The authorized official title is Director and has the following contact phone number (209) 342-2300.

The enumeration date for this NPI number is 11/2/2005 and was last updated on 10/16/2008.


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
12085R0202XRadiologyDiagnostic Radiology8126CALIFORNIAYes

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
1GR0005287MEDICAIDCALIFORNIA
2YYY49735YMEDICARE PINCALIFORNIA
3GR0005286MEDICAIDCALIFORNIA
4ZZZ25145ZMEDICARE PINCALIFORNIA
5ZZZ25888ZMEDICARE PINCALIFORNIA
6YYY49682YMEDICARE PINCALIFORNIA
7GR0005285MEDICAIDCALIFORNIA
8GR0005289MEDICAIDCALIFORNIA
9ZZZ25210ZMEDICARE PINCALIFORNIA
10YYY49681YMEDICARE PINCALIFORNIA
11YYY49679YMEDICARE PINCALIFORNIA
12GR0005283MEDICAIDCALIFORNIA
13ZZZ25226ZMEDICARE PINCALIFORNIA
14ZZZ25145ZOTHERCALIFORNIABLUE SHIELD
15GR0005282MEDICAIDCALIFORNIA
16GR0005281MEDICAIDCALIFORNIA
17ZZZ25211ZMEDICARE PINCALIFORNIA
18GR0005280MEDICAIDCALIFORNIA

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: 4/28/2024

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