Individual provider Active NPI

Richard Koff, M.D.

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1447517255
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A129433 Issued in CA
Practice address
155 N Fresno St
Fresno, CA 93701-2302
Phone
(559) 499-6500
NPI assigned
Apr 18, 2012
Last updated
Jul 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A129433 CA Primary

Addresses

Primary practice location

155 N Fresno St
Fresno, CA 93701-2302

Mailing address

155 N Fresno St
Fresno, CA 93701-2302

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180301001133 CA Practitioner - Diagnostic Radiology 6709147093 Reassigns benefits to 14 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Tufts University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Premier Diagnostic and Interventional SpecialistsGroup PAC ID 1951760966, 7 clinicians

Practice addresses (Care Compare)

10021 Forbes Ave
Northridge, CA 91343-1001
Phone (425) 563-1500

15031 Rinaldi St
Mission Hills, CA 91345-1207
Phone (818) 365-8051

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A129433CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mother Lode Diagnostic Imaging Inc Diagnostic Radiology CurrentSince Jan 13, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince Jan 1, 2024 Accepting new patients
San Joaquin Community Hospital CurrentSince Jan 1, 2024 Accepting new patients
Memorialcare Medical Foundation CurrentSince Feb 15, 2018 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Apr 24, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Jun 20, 2023 Accepting new patients
Adventist Health Tulare CurrentSince Jun 20, 2023 Accepting new patients
Usc Care Medical Group, Inc CurrentSince Jun 11, 2019 Accepting new patients
Ukiah Adventist Hospital Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Premier Diagnostic & Interventional Specialists Diagnostic Radiology CurrentSince May 16, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Jul 25, 2023 Accepting new patients
Willits Hospital Inc. CurrentSince May 1, 2023 Accepting new patients
Adventist Health Delano CurrentSince Dec 3, 2023 Accepting new patients
Adventist Health Delano Current Accepting new patients
Radiologica Inc. Diagnostic Radiology CurrentSince Feb 17, 2024 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 27, 2024 Accepting new patients
Usc Care Medical Group, Inc Diagnostic Radiology CurrentSince Jun 11, 2019 Accepting new patients
Adventist Health Clearlake Hospital Inc. CurrentSince May 1, 2023 Accepting new patients
San Joaquin Community Hospital CurrentSince Dec 3, 2023 Accepting new patients
Ukiah Adventist Hospital CurrentSince May 1, 2023 Accepting new patients
Adventist Health Mendocino Coast CurrentSince Apr 24, 2023 Accepting new patients
Reedley Community Hospital CurrentSince Jun 20, 2023 Accepting new patients
Hanford Community Hospital CurrentSince Jun 20, 2023 Accepting new patients
Adventist Health Medical Center Tehachapi CurrentSince Feb 27, 2024 Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Keck Medical Center of Usc Past Accepting new patients
Adventist Health Delano Past Accepting new patients
Adventist Health Physicians Network Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Usc University Hospital, Inc. Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients
Advanced Medical Imaging Inc Past Accepting new patients
Port City Operating Company, LLC Past Accepting new patients

Locations (25 of 41)

3605 Hospital Rd
Atwater, CA 95301
Phone (209) 381-2000

9602 Stockdale Hwy
Bakersfield, CA 93311
Phone (661) 633-5000

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

9350 N Loop Blvd
California City, CA 93505
Phone (760) 373-1785

15630 18th Ave
Clearlake, CA 95422
Phone (707) 995-5820

1191 Phelps Ave
Coalinga, CA 93210
Phone (559) 897-5841

722 Baker St
Costa Mesa, CA 92626
Phone (714) 557-6300

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

1401 Garces Hwy
Delano, CA 93215
Phone (661) 381-7545

1849 Iron Point Rd
Ste 160
Folsom, CA 95630
Phone (916) 984-8102

700 River Dr
Fort Bragg, CA 95437
Phone (707) 961-1234

125 Mall Dr
Ste 305
Hanford, CA 93230
Phone (559) 537-0440

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

1125 Sir Francis Drk Blvd
Kentfield, CA 94904
Phone (415) 456-9680

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

1520 San Pablo St
Los Angeles, CA 90033
Phone (323) 442-5849

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

5189 Hospital Rd
Mariposa, CA 95338
Phone (209) 966-3631

450 Glass Ln
Ste C
Modesto, CA 95356

730 17th St
Modesto, CA 95354
Phone (209) 248-7700

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

400 N McDowell Blvd
Petaluma, CA 94954
Phone (707) 778-1111

19950 Rinaldi St
Ste 101B
Porter Ranch, CA 91326
Phone (818) 496-7517

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/29a5ccea-f4ab-4447-a191-56b20695970f/
  • FHIR API: https://fhir-myrecord.cerner.com/r4/a36dfa71-4dd3-4608-9cfb-c7a63ade5531/

Organizations & group practices 34

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 34

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1447517255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 N FRESNO ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937012302",
            "telephone_number": "559-499-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFF",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-18",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A129433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.