Active NPI
Radiance Medical Group
- Family Medicine Physician
- Philadelphia, PA
National Provider Identifier
1740837442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- RADIANCE MEDICAL GROUP
- Practice address
- 1229 S 6TH St
Philadelphia, PA 19147-4837 - Phone
- (215) 792-4212
- Fax
- (267) 361-0666
- NPI assigned
- Aug 19, 2019
- Last updated
- Oct 3, 2025
- 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. Victoria Borgia, MD
- Title
- Owner
- Phone
- (267) 809-1799
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
1229 S 6TH St
Philadelphia, PA 19147-4837
Mailing address
1141 S 13TH St
Philadelphia, PA 19147-4534
Phone (215) 792-4212
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD427968 | Other | PA | PA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1679516850
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759449600000",
"number": "1740837442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1141 S 13TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474534",
"telephone_number": "215-792-4212",
"fax_number": "215-274-0464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 S 6TH ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191474837",
"telephone_number": "215-792-4212",
"fax_number": "267-361-0666"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIANCE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-19",
"last_updated": "2025-10-03",
"certification_date": "2025-10-03",
"status": "A",
"authorized_official_last_name": "BORGIA",
"authorized_official_first_name": "VICTORIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "267-809-1799",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA",
"identifier": "MD427968",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.