Legacy MD Medical Group Inc

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

LEGACY MD MEDICAL GROUP INC

Practice address

222 E Cole Blvd
Calexico, CA 92231-3211

Phone

(760) 352-2551

NPI assigned

May 23, 2024

Organization subpart

Yes

Parent organization

LEGACY MD MEDICAL GROUP INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Marshall Strong, MDNPI 1043248719

Title

President

Phone

(760) 352-2551

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Legacy MD Medical Group Inc

  • General Practice Physician
  • El Centro, CA
  • NPI 1073210753

  0446619738

  Same PAC ID
• Legacy MD Medical Group Inc

  • Cardiac Rehabilitation Registered Nurse
  • Calexico, CA
  • NPI 1285494351

  0446619738

  Same PAC ID

Tax ID family

Legacy MD Medical Group Inc3 organizations share this tax ID, including this one

Part of

Legacy MD Medical Group Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Legacy MD Medical Group Inc

  • General Practice Physician
  • El Centro, CA
  • NPI 1073210753
  NPD tax ID
• Legacy MD Medical Group Inc

  • Cardiac Rehabilitation Registered Nurse
  • Calexico, CA
  • NPI 1285494351
  NPD tax ID

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JHCDDD

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Legacy MD Medical Group Inc

  • General Practice Physician
  • El Centro, CA
  • NPI 1073210753
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Marshall Strong, M.D.

  • Family Medicine Physician
  • El Centro, CA
  • NPI 1043248719
  NPD (past) Authorized official
• George Rapp, MD

  • Vascular & Interventional Radiology Physician
  • Brawley, CA
  • NPI 1114217015
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1063251502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 E COLE BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922313211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E COLE BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922313211",
            "telephone_number": "760-352-2551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1699 N Imperial Ave",
            "address_purpose": "LOCATION",
            "city": "El Centro",
            "state": "CA",
            "postal_code": "922431320",
            "country_code": "US",
            "telephone_number": "760-352-2551",
            "fax_number": "888-631-5150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEGACY MD MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY MD MEDICAL GROUP INC",
        "enumeration_date": "2024-05-23",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A",
        "authorized_official_last_name": "STRONG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MARSHALL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-352-2551",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassandra Celeste Versachi Landeros
• Karely Lara Paz, FNP
• Alexandra Camila Lara
• Issadora Lara, MD
• Celina Lee
• Legacy MD Medical Group Inc
• Leomar Health Group Inc
• Dylan Leon
• Joseluis Leon
• Heidi Ley

• Diagnostic Radiology Physician in Calexico, CA
• Providers in Calexico, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.