Active NPI
Reliant Radiology Medical Group a Professional Corporation
- Diagnostic Radiology Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G39172
- Legal business name
- RELIANT RADIOLOGY MEDICAL GROUP A PROFESSIONAL CORPORATION
- Practice address
- 816 W Acequia Ave
Visalia, CA 93291-6126 - Phone
- (559) 627-6363
- Fax
- (559) 627-3627
- NPI assigned
- Nov 21, 2006
- Last updated
- Apr 25, 2016
- 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 Carl Benson, MD
- Title
- President
- Phone
- (714) 488-2909
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G39172 | CA | Primary |
Addresses
Primary practice location
816 W Acequia Ave
Visalia, CA 93291-6126
Mailing address
PO Box 7659
Visalia, CA 93290-7659
Phone (559) 627-6363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0090100 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1801 W Romneya Dr
Ste 106
Anaheim, CA 92801
Phone (714) 635-2642
4050 Barranca Pkwy
Ste 60
Irvine, CA 92604
Phone (949) 559-1911
816 W Acequia Ave
Visalia, CA 93291
Phone (559) 582-4481
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Specialist
- Westlake, CA
- NPI 1033188529
-
- Diagnostic Radiology Physician
- Los Alamitos, CA
- NPI 1952493876
-
- Diagnostic Radiology Physician
- Aliso Viejo, CA
- NPI 1891775367
-
- Nuclear Medicine Physician
- Fountain Valley, CA
- NPI 1093884538
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Bryn Mawr, PA
- NPI 1093802522
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1461542400000",
"number": "1790850238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7659",
"city": "VISALIA",
"state": "CA",
"postal_code": "932907659",
"telephone_number": "559-627-6363",
"fax_number": "559-627-6367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "816 W ACEQUIA AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932916126",
"telephone_number": "559-627-6363",
"fax_number": "559-627-3627"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RELIANT RADIOLOGY MEDICAL GROUP A PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2016-04-25",
"status": "A",
"authorized_official_last_name": "BENSON",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "CARL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "714-488-2909",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G39172",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0090100",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.