Organization Active NPI

Madera Radiology Associates

  • Diagnostic Radiology Physician
  • Madera, CA
National Provider Identifier
1528332384
Registry record updated Feb 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A65275 Issued in CA
Legal business name
MADERA RADIOLOGY ASSOCIATES
Practice address
1250 E Almond Ave
Madera, CA 93637-5606
Phone
(559) 697-6543
NPI assigned
Feb 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2012

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

Authorized official

Name
Dr. Paul Mark Loeffler, M.D.
Title
Medical Director
Phone
(559) 697-6543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X A65275 CA Primary

Addresses

Primary practice location

1250 E Almond Ave
Madera, CA 93637-5606

Mailing address

PO Box 224
Exeter, CA 93221-0224
Phone (559) 697-6543

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330214400000",
    "number": "1528332384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 224",
            "city": "EXETER",
            "state": "CA",
            "postal_code": "932210224",
            "telephone_number": "559-697-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E ALMOND AVE",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375606",
            "telephone_number": "559-697-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA RADIOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-26",
        "last_updated": "2012-02-26",
        "status": "A",
        "authorized_official_last_name": "LOEFFLER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MARK",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-697-6543",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A65275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.