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JOHN MUIR PHYSICIAN NETWORK NPI 1639190374


NPI Information

NPI: 1639190374
Provider Name: JOHN MUIR PHYSICIAN NETWORK
Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0885542

Address:
1505 SAINT ALPHONSUS WAY
ALAMO, CA
ZIP 94507
Phone: (925) 837-4225
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JOHN MUIR PHYSICIAN NETWORK is a pediatrics in Alamo, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. JOHN MUIR PHYSICIAN NETWORK NPI is 1639190374. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1505 SAINT ALPHONSUS WAY
ALAMO, CA
ZIP 94507-570
Phone: (925) 837-4225
Fax: (925) 820-0739

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 05D0885542 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/21/2006 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
1208000000XPediatricsYes

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
2CD4001MEDICARE PINCALIFORNIA
3CD2399MEDICARE PINCALIFORNIA
4CD4000MEDICARE PINCALIFORNIA
5CE7104MEDICARE PINCALIFORNIA
6CI4093MEDICARE PINCALIFORNIA
7ZZZ47768ZMEDICARE PINCALIFORNIA
8GR008750MEDICAIDCALIFORNIA

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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