Legacy MD Medical Group Inc
NPI 1063251502 · Diagnostic Radiology Physician · Calexico, CA
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Legacy MD Medical Group Inc is a Diagnostic Radiology Physician organization in Calexico, CA (NPI 1063251502).
Provider details
- NPI number
- 1063251502
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Legacy MD Medical Group Inc
- Organization subpart
- Yes
- Authorized official
- John Strong, President(760) 352-2551
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1699 N Imperial AveEl Centro, CA 92243-1320Phone: (760) 352-2551Fax: (888) 631-5150
Registry dates
- Enumerated
- 2024-05-23
- Last updated
- 2025-02-24
- Certified
- 2025-02-24
Frequently asked questions
- What is Legacy MD Medical Group Inc's NPI number?
- Legacy MD Medical Group Inc's National Provider Identifier (NPI) is 1063251502, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Legacy MD Medical Group Inc?
- Legacy MD Medical Group Inc is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Legacy MD Medical Group Inc located?
- Legacy MD Medical Group Inc's practice location on file with NPPES is 222 E Cole Blvd, Calexico, CA 92231-3211.
- What is Legacy MD Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Legacy MD Medical Group Inc is (760) 352-2551.
- Does Legacy MD Medical Group Inc accept Medicare?
- Legacy MD Medical Group Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Legacy MD Medical Group Inc?
- The authorized official listed on Legacy MD Medical Group Inc's NPPES record is John Strong, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Legacy MD Medical Group Inc's NPI active?
- Yes — Legacy MD Medical Group Inc's NPI (1063251502) is active in the NPPES registry as of the last update on 2025-02-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.