Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jonathan William Blevins, MD

Individual provider Diagnostic Radiology Physician · NPI 1477710127

Dr. Jonathan William Blevins, MD is a Diagnostic Radiology in Rancho Mirage, California. Graduated from Georgetown University School of Medicine in 2006, 20 years ago. Practices with Halo Medical Group, a 20-clinician group. Licensed in California and Pennsylvania.

Years since qualifying
20
Trained at
Georgetown University School of Medicine
Licensed in
CA, PA
In the registry since
2008
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

39000 Bob Hope Dr Dept OF
Rancho Mirage, CA 92270-3221
Phone: (949) 263-8620
Fax: (800) 409-7005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence A117764 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MT189054 (PA)

Record details

NPI number1477710127
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 20, 2008
Last updated in NPPESJuly 9, 2017
Mailing addressPo Box 18977, Reno, NV 89511-0550

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2006 (20 years in practice)
Group practice Halo Medical Group — 20 clinicians
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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