JOHN MUIR HEALTH (NPI# 1164799391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164799391 |
| Entity Type | Organization |
| Organization Name | JOHN MUIR HEALTH |
| Other Organization Name | JOHN MUIR HEALTH - CONCORD CAMPUS |
| Practice Address |
2540 East St Concord CA 94520-1906 |
| Mailing Address |
1400 Treat Blvd Walnut Creek CA 94597-2142 |
| Practice Telephone | 9256828200 |
| Practice Fax Number | 9256742009 |
| Mailing Telephone | 9259393000 |
| Mailing Fax Number | 9259412236 |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2011-11-16 |
| Authorized Official Name | MR. MICHAEL D. MOODY (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9259412159 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN MUIR HEALTH |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
140000128 | CA | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| John Muir Health - Concord Campus | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437161452 | John Muir Health | Home Health | 2298 Pike Ct, Concord, CA 94520-1251 | 2006-08-12 |
| 1801163035 | John Muir Health | Orthopaedic Surgery | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2011-11-16 |
| 1174890305 | John Muir Health | Physician Assistant | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2011-11-16 |
| 1336416569 | John Muir Health | Physician Assistant | 2540 East St, Concord, CA 94520-1906 | 2011-11-16 |
| 1699099937 | John Muir Health | Clinical Medical Laboratory | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2010-03-16 |
| 1760602726 | John Muir Health | Internal Medicine | 2540 East St, Concord, CA 94520-1906 | 2007-05-01 |
| 1275753493 | John Muir Health | Internal Medicine | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2007-04-30 |
| 1043368012 | John Muir Health | Pharmacy | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2007-01-08 |
| 1619049491 | John Muir Health | Pharmacy | 2700 Grant St, Concord, CA 94520-2266 | 2006-11-15 |
| 1447269303 | John Muir Health | Rehabilitation Unit | 1601 Ygnacio Valley Rd, Walnut Creek, CA 94598-3122 | 2006-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | JOHN MUIR HEALTH | 5003 Commercial Circle, Concord, CA 94520 |
| Colorado Business Entities | John Muir Health | 5003 Commercial Cir, Concord, CA 94520 |
| Street Address |
2540 EAST ST |
| City | CONCORD |
| State | CA |
| Zip Code | 94520-1906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821095134 | Gary Gershony | Internal Medicine | 2540 East St, Concord, CA 94520-1906 | 2005-06-30 |
| 1316546856 | Stephanie Tejada | Registered Nurse | 2540 East St, Concord, CA 94520-1906 | 2020-10-24 |
| 1386274389 | Gary Gershony Md, A Medical Corporation | General Acute Care Hospital | 2540 East St, Concord, CA 94520-1906 | 2020-01-19 |
| 1316448525 | Ryan Dysart | Perfusionist | 2540 East St, Concord, CA 94520-1906 | 2018-02-22 |
| 1821519810 | Katie Ahmann | Registered Nurse | 2540 East St, Concord, CA 94520-1906 | 2017-06-29 |
| 1255861233 | Cep America - Psychiatry PC | Psychiatry & Neurology | 2540 East St, Concord, CA 94520-1906 | 2017-06-13 |
| 1275919722 | Erin Kellam Pardee | Physician Assistant | 2540 East St, Concord, CA 94520-1906 | 2015-08-07 |
| 1841687787 | John Muir Medical Center | General Acute Care Hospital | 2540 East St, Concord, CA 94520-1906 | 2015-04-17 |
| 1417361411 | Contra Costa Pathology Associates | Pathology | 2540 East St, Concord, CA 94520-1906 | 2014-06-17 |
| 1639500333 | John Russillo | Pharmacist | 2540 East St, Concord, CA 94520-1906 | 2013-12-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130163 | Jessica E. Hiers | Audiologist | 2280 Diamnond Blvd, Suite 520, Concord, CA 94520 | 2020-10-05 |
| 1538712690 | Melody Louise Todd | Student in an Organized Health Care Education/Training Program | 2112 Willow Pass Rd., Suite 500, Concord, CA 94520 | 2019-07-18 |
| 1497319446 | Nately Rose | Social Worker | Contra Costa County Behavioral Health, 2425 Bisso Lane, Ste 200, Concord, CA 94520 | 2019-04-25 |
| 1609331412 | Darien Mccollins Jr. | Case Manager/Care Coordinator | 2380 Salvio Street Stu 200, Concord, CA 94520 | 2019-02-06 |
| 1972072122 | Rocio Flores Neale | Physician Assistant | 2415 High School Avenue, Suite 800, Concord, CA 94520 | 2018-11-16 |
| 1386129138 | Vanessa Segovia | Registered Nurse | 2500 Bates Ave., Suite B, Concord, CA 94520 | 2018-09-27 |
| 1417442278 | Raquel Jihan Chiasson | Social Worker | 2900 Avon Avenue, Concord, CA 94520 | 2018-06-25 |
| 1184118143 | Angela Navarro | Behavioral Analyst | 1844 Overhill Rd, Concord, CA 94520 | 2018-06-21 |
| 1811498678 | Sherry Currie-proctor | Case Manager/Care Coordinator | 2380 Salvio Street, Concord, CA 94520 | 2018-02-26 |
| 1770082547 | Donna Christianson | Marriage & Family Therapist | 2401 Stanwell Drive, Suite 460, Office #2, Concord, CA 94520 | 2018-02-07 |
| Find all providers in zip 94520 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194136523 | University Healthcare Alliance | Internal Medicine | 2222 East St Ste 260, Concord, CA 94520-2074 | 2014-05-20 |
| 1164687901 | Jacques Chahin, M. D., Inc. | Internal Medicine | 2700 Grant St Ste 311, Concord, CA 94520-2268 | 2008-07-22 |
| 1992998652 | Michael Tofano Md PC | Internal Medicine | 131ornac John Cuming Building, Suite 650, Concord, MA 01742 | 2007-08-24 |
| 1770592297 | Donna Darlene Adams | Internal Medicine | 246 Pleasant Street, Suite 103, Memorial Medical Office Building, Concord, NH 03301 | 2006-08-05 |
| 1003896721 | Concord Cardiology | Internal Medicine | 131 Old Road To Nine Acre Corner, Suite 520 John Cuming Bldg, Concord, MA 01742 | 2006-01-19 |
| 1265414155 | Ayman A Hosny | Internal Medicine | 2700 Grant St, Ste 101, Concord, CA 94520-2280 | 2005-11-16 |
| 1700882958 | Patrick Anonick | Internal Medicine | 100 Medical Park Dr, Ste 210, Concord, NC 28025-2948 | 2005-06-22 |
| 1508860552 | Matthew J Gutierrez | Internal Medicine | 246 Pleasant Street Memorial Building, West, Ground Flo, Concord, NH 03301-2548 | 2005-06-08 |
| 1588039614 | John Muir Physician Network | Internal Medicine | 2485 High School Ave, #100, Concord, CA 94520-1819 | 2015-12-01 |
| 1457761504 | John Muir Physician Network | Internal Medicine | 2700 Grant St, Suite 106, Concord, CA 94520-2266 | 2014-04-29 |
| Find all providers in CONCORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.