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JOHN MUIR PHYSICIAN NETWORK NPI 1407801384


NPI Information

NPI: 1407801384
Provider Name: JOHN MUIR PHYSICIAN NETWORK
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D0882057

Address:
1220 ROSSMOOR PKWY
WALNUT CREEK, CA
ZIP 94595
Phone: (925) 939-1220
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JOHN MUIR PHYSICIAN NETWORK is an internal medicine in Walnut Creek, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. JOHN MUIR PHYSICIAN NETWORK NPI is 1407801384. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1220 ROSSMOOR PKWY
WALNUT CREEK, CA
ZIP 94595-501
Phone: (925) 939-1220
Fax: (925) 988-7574

The provider's authorized official is M Katherine Sorenson .
The authorized official title is Vice President Practice Adm and has the following contact phone number (925) 952-2888.

The CLIA number assigned to this NPI record is 05D0882057 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/22/2006 and was last updated on 6/21/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CE7104MEDICARE PINCALIFORNIA
2ZZZ47768ZMEDICARE PINCALIFORNIA
3GR006875IMEDICAIDCALIFORNIA
4CI4093MEDICARE PINCALIFORNIA
5CD4001MEDICARE PINCALIFORNIA
6CH0335MEDICARE PINCALIFORNIA
7CD4000MEDICARE PINCALIFORNIA
8CD2399MEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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