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JOHN MUIR PHYSICIAN NETWORK NPI 1700259892


NPI Information

NPI: 1700259892
Provider Name: JOHN MUIR PHYSICIAN NETWORK
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 05D2126824

Address:
2101 VALE RD
#201
SAN PABLO, CA
ZIP 94806
Phone: (510) 223-9300
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JOHN MUIR PHYSICIAN NETWORK is a cardiovascular disease internal medicine in San Pablo, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. JOHN MUIR PHYSICIAN NETWORK NPI is 1700259892. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2101 VALE RD
#201
SAN PABLO, CA
ZIP 94806-835
Phone: (510) 223-9300

The provider's authorized official is Harold L. Huskins .
The authorized official title is President And Cao and has the following contact phone number (925) 952-2888.

The CLIA number assigned to this NPI record is 05D2126824 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/11/2015 and was last updated on 11/11/2015.


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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1ZZZ47768ZMEDICARE 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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.