Kennewick Radiology Group, PC
NPI 1114491479 · Diagnostic Radiology Physician · San Marino, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kennewick Radiology Group, PC is a Diagnostic Radiology Physician organization in San Marino, CA (NPI 1114491479).
Provider details
- NPI number
- 1114491479
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Sandip Patidar, Owner(559) 455-4009
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2019-01-18
- Last updated
- 2019-01-18
Frequently asked questions
- What is Kennewick Radiology Group, PC's NPI number?
- Kennewick Radiology Group, PC's National Provider Identifier (NPI) is 1114491479, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kennewick Radiology Group, PC?
- Kennewick Radiology Group, PC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Kennewick Radiology Group, PC located?
- Kennewick Radiology Group, PC's practice location on file with NPPES is 765 La Mirada Ave, San Marino, CA 91108-1729.
- What is Kennewick Radiology Group, PC's phone number?
- The practice phone number listed in the NPPES registry for Kennewick Radiology Group, PC is (559) 455-4009.
- Does Kennewick Radiology Group, PC accept Medicare?
- Kennewick Radiology Group, PC 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 Kennewick Radiology Group, PC?
- The authorized official listed on Kennewick Radiology Group, PC's NPPES record is Sandip Patidar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kennewick Radiology Group, PC's NPI active?
- Yes — Kennewick Radiology Group, PC's NPI (1114491479) is active in the NPPES registry as of the last update on 2019-01-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.