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KENNEWICK RADIOLOGY GROUP, PC
NPI 1114491479
Radiology - Diagnostic Radiology in San Marino, CA

Active since January 18, 2019
765 LA MIRADA AVE, SAN MARINO, CA 91108(559) 455-4009 Get Directions Write a Review

NPPES record last updated: January 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kennewick Radiology Group, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNEWICK RADIOLOGY GROUP, PC (NPI 1114491479) is a healthcare organization registered as a diagnostic radiology in San Marino, California and active in the NPI registry since January 2019. The organization lists Sandip Patidar, Owner, as its authorized official.

NPPES Registry Identity

NPI1114491479
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameKENNEWICK RADIOLOGY GROUP, PC
Location Address765 LA MIRADA AVESan Marino, CA 91108-1729
Mailing AddressPo Box 4030Pasco, WA 99302-4030
Phone(559) 455-4009
Organization SubpartNo
Authorized OfficialSandip PatidarOwner · (559) 455-4009
Enumeration DateJanuary 18, 2019
✔ NPI 1114491479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
765 LA MIRADA AVE, San Marino, CA 91108
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
765 LA MIRADA AVE
SAN MARINO, CA 91108
Los Angeles County (108) 371-8346
RADIOLOGICAL ASSOCIATES MEDICAL GROUP, INC
Radiology (Diagnostic Radiology)
765 LA MIRADA AVE
SAN MARINO, CA 91108
Los Angeles County (559) 455-4042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kennewick Radiology Group, PC's NPI number?

The NPI number for Kennewick Radiology Group, PC is 1114491479. It was assigned to this organization in the NPPES registry on January 18, 2019.

Where is Kennewick Radiology Group, PC located?

Kennewick Radiology Group, PC is located at 765 La Mirada Ave, San Marino, CA 91108. The listed phone number is (559) 455-4009.

What is Kennewick Radiology Group, PC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

When was this NPI record last updated?

The NPPES record for Kennewick Radiology Group, PC was last updated on January 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.