Individual provider Active NPI

Jedidiah M Monson, MD

  • Radiation Oncology Physician
  • Fresno, CA
National Provider Identifier
1669455390
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
G83275 Issued in CA
Practice address
7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone
(559) 326-1222
Fax
(559) 326-1225
NPI assigned
Nov 28, 2005
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X G83275 CA Primary

Addresses

Primary practice location

7130 N Millbrook Ave
Fresno, CA 93720-3347

Mailing address

PO Box 25100
Fresno, CA 93729-5100
Phone (559) 326-1222

Other practice location 1

1125 E Spruce Ave Ste 103
Fresno, CA 93720-3387
Phone (559) 878-4510

Other identifiers 4

IdentifierTypeStateIssuer
1489286OtherCACIGNA PROVIDER #
5795635OtherCAAETNA PROVIDER #
00G832750MedicaidCA
00G832750OtherCABLUE SHIELD CA PROVIDER #

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
I20041008000857 CA Practitioner - Radiation Oncology 8729047261 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Stanford University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7130 N Millbrook Ave
Fresno, CA 93720-3347
Phone (559) 326-1222

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.27
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G83275CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Cancer Associates for Research and Excellence Inc Radiation Oncology CurrentSince Jun 1, 2008 Accepting new patients
Valley Children's Medical Group CurrentSince Nov 27, 2016 Accepting new patients
California Cancer Associates for Research and Excellence Inc CurrentSince Jun 1, 2008 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Emanuel Medical Center, Inc. Past Accepting new patients
Legacy Meridian Park Hospital Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Saint Agnes Medical Center Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Valley Radiotherapy Associates Medical Group Inc Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
California Cancer Associates for Research and Excellence Inc Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
California Cancer Associates for Research and Excellence, Inc. Past Accepting new patients
California Cancer Associates for Research and Excellence, Inc. Past Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Past Accepting new patients
Genesiscare USA of California a Medical Corporation Radiation Oncology Past Accepting new patients
Menifee Valley Medical Center Past Accepting new patients
California Cancer Associates for Research and Excellence, Inc. Past Accepting new patients
California Cancer Associates for Research and Excellence Inc Past Accepting new patients
Valley Children's Hospital Past Accepting new patients
Providence Health & Services - Oregon Past Accepting new patients

Locations

1125 E Spruce Ave
Ste 103
Fresno, CA 93720
Phone (553) 475-0286

7130 N Millbrook Ave
Fresno, CA 93720
Phone (559) 326-1222

7130 N Millbrook Ave
Ste 112
Fresno, CA 93720
Phone (559) 450-5500

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

12998 Hesperia Rd
Ste 204
Victorville, CA 92395
Phone (760) 780-4960

104 Woodmont Blvd
Ste 500
Nashville, TN 37205
Phone (615) 467-7400

Interoperability endpoints

  • Direct secure messaging: jedidiah.monson@ccare.direct.varian.com

Organizations & group practices 26

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 26

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1669455390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-421-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203347",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 E Spruce Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937203387",
            "country_code": "US",
            "telephone_number": "559-878-4510",
            "fax_number": "559-878-4515",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONSON",
        "first_name": "JEDIDIAH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "G83275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER #",
            "identifier": "1489286",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER #",
            "identifier": "5795635",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832750",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CA PROVIDER #",
            "identifier": "00G832750",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.