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JOHN MUIR PHYSICIAN NETWORK NPI 1477571057


NPI Information

NPI: 1477571057
Provider Name: JOHN MUIR PHYSICIAN NETWORK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0724541

Address:
3440 HILLCREST AVE
SUITE 150
ANTIOCH, CA
ZIP 94531
Phone: (925) 779-1331
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JOHN MUIR PHYSICIAN NETWORK is a family medicine in Antioch, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JOHN MUIR PHYSICIAN NETWORK NPI is 1477571057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3440 HILLCREST AVE
SUITE 150
ANTIOCH, CA
ZIP 94531-238
Phone: (925) 779-1331
Fax: (925) 779-1585

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 05D0724541 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/18/2006 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
1207Q00000XFamily 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
1CH0335MEDICARE PINCALIFORNIA
2CD4000MEDICARE PINCALIFORNIA
3ZZZ47768ZMEDICARE PINCALIFORNIA
4CI4093MEDICARE PINCALIFORNIA
5CD2399MEDICARE PINCALIFORNIA
6CE7104MEDICARE PINCALIFORNIA
7CD4001MEDICARE PINCALIFORNIA
8GR0068754MEDICAIDCALIFORNIA

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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