JOHN MUIR HEALTH (NPI# 1336416569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336416569 |
| 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 | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 363L00000X | Nurse Practitioner | 140000285 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1164799391 | John Muir Health | Ophthalmology | 2540 East St, Concord, CA 94520-1906 | 2011-11-16 |
| 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 |
| 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 | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891355970 | Taquita Shanee Milner | Nurse Practitioner | 3116 Dylan Pl Nw, Concord, NC 28027-0769 | 2019-06-19 |
| 1083182992 | Katie Weatherman Tucker | Nurse Practitioner | 1085 Ne Gateway Ct Ne Ste 180, Concord, NC 28025-2407 | 2018-11-08 |
| 1174938799 | Altegra Health Connections, LLC | Nurse Practitioner | 9 Capitol St, Concord, NH 03301-6310 | 2014-06-23 |
| 1548514888 | Sarah Adler-mcdonald | Nurse Practitioner | 2000 Sierra Rd., Concord, CA 94518 | 2012-11-08 |
| 1982990560 | Rashida Petrovich | Nurse Practitioner | 2222 East St # 305, Concord, CA 94520-2066 | 2011-06-22 |
| 1386774545 | Deborah Ann Sampson | Nurse Practitioner | 60 Commerce St Suite 302, Concord Hospital Occupational Health, Concord, NH 03301-0000 | 2007-03-06 |
| 1164569307 | Bridget Mary Canty | Nurse Practitioner | 5299 Laurel Dr, Concord, CA 94521-1529 | 2007-01-30 |
| 1679610844 | Debra Lynn Knuckles | Nurse Practitioner | 855 Bradley St, Ste. A, Concord, NC 28025-2979 | 2007-01-30 |
| 1043375090 | Kimberly A Capello | Nurse Practitioner | 59 Old Road To 9 Acre Cor, Ste 1, Concord, MA 01742-3317 | 2006-12-27 |
| 1346253978 | My Linh Thi Waldrop | Nurse Practitioner | 9614 Camden Town Dr Nw, Concord, NC 28027-3332 | 2006-08-14 |
| 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.