Organization Active NPI

Radiance Medical Group

  • Family Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1740837442
Registry record updated Oct 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2025

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

Authorized official

Name
Dr. Victoria Borgia, MDNPI 1679516850
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MD427968OtherPAPA

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.