Todd Spencer MD Medical Group, Inc.

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

TODD SPENCER MD MEDICAL GROUP, INC.

Practice address

372 W Cypress Ave
Reedley, CA 93654-2113

Phone

(559) 638-8155

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Todd Spencer, MD

Title

Director

Phone

(559) 675-9281

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sierra Kings Radiology Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891717765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 E ALMOND AVE",
            "address_2": "SUITE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936375692",
            "telephone_number": "559-675-9281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 W CYPRESS AVE",
            "city": "REEDLEY",
            "state": "CA",
            "postal_code": "936542113",
            "telephone_number": "559-638-8155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD SPENCER MD MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SPENCER",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-675-9281",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076592",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Kings Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Reedley, CA
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.