NPIMap

Organization Active NPI

Mineral King Radiological Medical Group, Inc

  • Diagnostic Radiology Physician
  • Visalia, CA
National Provider Identifier
1578505202
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
16743528 Issued in CA
Legal business name
MINERAL KING RADIOLOGICAL MEDICAL GROUP, INC
Practice address
1700 S Court St
Ste F
Visalia, CA 93277-4929
Phone
(559) 734-9244
Fax
(559) 734-6932
NPI assigned
Jun 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Authorized official

Name
Erika Botterill
Title
Chief Administrative Director
Phone
(559) 608-5238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 16743528 CA Primary

Addresses

Primary practice location

1700 S Court St
Ste F
Visalia, CA 93277-4929

Mailing address

1700 S Court St
Ste F
Visalia, CA 93277-4929
Phone (559) 734-9244

Other practice location 1

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 734-9244

Other practice location 2

1700 S Court St Ste A
Visalia, CA 93277-4931
Phone (559) 734-5674

Other practice location 3

337 N Plaza Dr
Visalia, CA 93291-8227
Phone (559) 366-7177

Other names 4

  • VIP Specialists Doing business as
  • Vasular & Interventional Procedure Specialists Doing business as
  • Visalia Imaging & Open MRI Doing business as
  • Visalia Women's Imaging Specialists Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040102000799 CA Part B Supplier - Clinic/Group Practice 2163321720 Receives reassigned benefits from 21 practitioners
Practice locations: Visalia, CA
O20240708002201 NY Part B Supplier - Clinic/Group Practice 2163321720 Receives reassigned benefits from 1 practitioner
Practice locations: Great Neck, NY

National Provider Directory

National Provider Directory

Locations

1700 S Court St
Ste Ac
Visalia, CA 93277
Phone (559) 734-5074

1700 S Court St
Ste A
Visalia, CA 93277
Phone (559) 734-5674

1700 S Court St
Ste F
Visalia, CA 93277
Phone (559) 734-9244

337 N Plaza Dr
Visalia, CA 93291
Phone (559) 366-7177

Practitioners & affiliated clinicians

Practitioners 43

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

View all 43

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746144000000",
    "number": "1578505202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "STE F",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-734-9244",
            "fax_number": "559-734-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "STE F",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-734-9244",
            "fax_number": "559-734-6932"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 W Mineral King Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932916237",
            "country_code": "US",
            "telephone_number": "559-734-9244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 S Court St Ste A",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774931",
            "country_code": "US",
            "telephone_number": "559-734-5674",
            "fax_number": "559-734-1787",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "337 N Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932918227",
            "country_code": "US",
            "telephone_number": "559-366-7177",
            "fax_number": "866-421-1361",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINERAL KING RADIOLOGICAL MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A",
        "authorized_official_last_name": "BOTTERILL",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "559-608-5238"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "16743528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VIP Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vasular & Interventional Procedure Specialists",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visalia Imaging & Open MRI",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Visalia Women's Imaging Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.