Active NPI
Robert Mennis MD Inc
- Diagnostic Radiology Physician
- Los Banos, CA
National Provider Identifier
1740468685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- C33289
- Legal business name
- ROBERT MENNIS MD INC
- Practice address
- 520 W I St
Los Banos, CA 93635-3419 - Phone
- (209) 826-0591
- NPI assigned
- Feb 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Robert Mennis, MD
- Title
- MD/Owner
- Phone
- (305) 798-4388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | C33289 | CA | Primary |
Addresses
Primary practice location
520 W I St
Los Banos, CA 93635-3419
Mailing address
PO Box 2128
Merced, CA 95344-0128
Phone (209) 723-4849
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1740468685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2128",
"city": "MERCED",
"state": "CA",
"postal_code": "953440128",
"telephone_number": "209-723-4849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 W I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936353419",
"telephone_number": "209-826-0591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT MENNIS MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-01",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "MENNIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "305-798-4388",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C33289",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.