Merced Radiology Medical Group

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

8126 Issued in CA

Legal business name

MERCED RADIOLOGY MEDICAL GROUP

Practice address

731 E Yosemite Ave
Suite B-170
Merced, CA 95340-8039

Phone

(209) 342-2300

Fax

(209) 524-4240

NPI assigned

Nov 2, 2005

Last updated

Oct 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark A Wagner, DONPI 1336130087

Title

Director

Phone

(209) 342-2300

Specialties & licenses 1

Addresses

Locations

Practitioners 10

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.

• Mark Andrew Wagner, DO

  • Diagnostic Radiology Physician
  • Madera, CA
  • NPI 1336130087
  Authorized official Same address or phone
• Michelle A Barbosa, D.O.

  • Internal Medicine Physician
  • Merced, CA
  • NPI 1306182464
  NPD (past)
• Ricardo Silos Centeno, MD

  • Diagnostic Radiology Physician
  • Merced, CA
  • NPI 1205827946
  NPD (past)
• Christina Wong Co, MD

  • Adult Medicine Physician
  • Antioch, CA
  • NPI 1194412908
  NPD (past)
• Youssef Boulos Hadweh, M.D.

  • Family Medicine Physician
  • Chowchilla, CA
  • NPI 1285749937

  Single Specialty

  NPD (past)
• Gurpreet Kaur

  • Family Medicine Physician
  • Merced, CA
  • NPI 1427747831
  NPD (past)
• Eefa Shehzad

  • Family Medicine Physician
  • Northridge, CA
  • NPI 1508515651
  NPD (past)
• Arthur R Tolentino

  • Infectious Disease Physician
  • Merced, CA
  • NPI 1962684282
  NPD (past)
• Naris Rujanavech, M.D.

  • Diagnostic Radiology Physician
  • Chesterfield, MO
  • NPI 1316970395
  NPD (past)
• Toua Xiong, M.D.

  • Family Medicine Physician
  • Saint Paul, MN
  • NPI 1649659418
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224115200000",
    "number": "1992796643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 NORTHSTAR WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569262",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "731 E YOSEMITE AVE",
            "address_2": "SUITE B-170",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408039",
            "telephone_number": "209-342-2300",
            "fax_number": "209-524-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED RADIOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-02",
        "last_updated": "2008-10-16",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "209-342-2300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "8126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merced Orthopaedic Medical Group, Inc
• Merced Pathology Medical Group, Inc.
• Merced Pharmacy Care Inc (Merced Pharmacy)
• Merced Physical Therapy and Sports Medicine Rehab LLC
• Merced Pulmonary Medical Assoc.
• Merced Rescue Mission
• Merced Rescue Mission (Merced County Rescue Mission)
• Merced Senior Living Limited Partnership (Courtyard at Merced)
• Merced SNF Operations LLC (Evergreen Healthcare Group)
• Merced Turlock Nephrology (Turlock Dialysis Center)

• Diagnostic Radiology Physician in Merced, CA
• Providers in Merced, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.