Organization Active NPI

Robert Mennis MD Inc

  • Diagnostic Radiology Physician
  • Los Banos, CA
National Provider Identifier
1740468685
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C33289 Issued in CA
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

Updated by the provider on Jul 14, 2008

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)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.