JOHN MUIR PERINATAL MEDICAL GROUP (NPI# 1558397141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558397141 |
| Entity Type | Organization |
| Organization Name | JOHN MUIR PERINATAL MEDICAL GROUP |
| Practice Address |
1656 N. Calfiornia Blvd. Suite 300 Walnut Creek CA 94596 |
| Mailing Address |
Po Box 9017 Walnut Creek CA 94598-0917 |
| Practice Telephone | 9259417955 |
| Practice Fax Number | 9259417986 |
| Mailing Telephone | 9259417985 |
| Mailing Fax Number | 9259522850 |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2009-12-17 |
| Authorized Official Name | M. KATHERINE SORENSON (VICE PRESIDENT) |
| Authorized Official Telephone | 9259522888 |
| Is Organization Subpart | Y |
| Parent Organization Name | JOHN MUIR PHYSICIAN NETWORK |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR006875K | 05 |
| Street Address |
1656 N. CALFIORNIA BLVD. SUITE 300 |
| City | WALNUT CREEK |
| State | CA |
| Zip Code | 94596 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467917229 | Alison M Khaddour | Behavior Technician | 800 S Broadway Ste. 310, Walnut Creek, CA 94596 | 2019-02-06 |
| 1134683618 | Ian Colas | Respiratory Therapist, Certified | 1425 South Main Street, Walnut Creek, Walnut Creek, CA 94596 | 2019-01-29 |
| 1912474131 | Albert Dizon Miraflores | Behavior Technician | 1910 Olympic Blvd Walnut Creek Ca 94596, Walnut Creek, CA 94596 | 2018-10-25 |
| 1487136834 | Daryn Stier | Social Worker | 80 Norlyn Drive, Walnut Creek, CA 94596 | 2018-09-02 |
| 1831682335 | Jessica Lim | Registered Nurse | 1357 Oakland Blvd, Walnut Creek, CA 94596 | 2018-06-08 |
| 1699278432 | Alanna Everhart | Behavior Technician | 877 Ygnacio Valley Road, Suite 100, Walnut Creek, CA 94596 | 2018-03-16 |
| 1962958108 | Derek Jue Md | Clinic/Center | 1812 San Miguel Drive, Walnut Creek, CA 94596 | 2016-08-28 |
| 1912369711 | Pamela Jean Lister | Marriage & Family Therapist | 2070 N Broadway, #5370, Walnut Creek, CA 94596 | 2016-03-22 |
| 1548635147 | Anne Lamoreaux Anderson | Behavioral Analyst | 800 South Broadway Suite #310, Walnut Creek, CA 94596 | 2015-12-08 |
| 1346619434 | Christine Anne Gotelli | Registered Nurse | 370 N. Civic Drive #311, San Francico, CA 94596 | 2015-09-18 |
| Find all providers in zip 94596 | ||||
| Taxonomy Code | 207VM0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Maternal & Fetal Medicine |
| An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851892459 | Baychildren's Physicians | Obstetrics & Gynecology | 2970 Camino Diablo Ste 210, Walnut Creek, CA 94597 | 2018-02-28 |
| 1316981699 | Jeffrey D Traynor | Obstetrics & Gynecology | 110 Tampico Ste 100, Walnut Creek, CA 94598-2961 | 2006-06-16 |
| 1255645172 | Diablo Valley Perinatal Associates, Inc | Obstetrics & Gynecology | 110 Tampico, Suite 100, Walnut Creek, CA 94598-2998 | 2010-08-03 |
| 1346382314 | Justin Collingham | Obstetrics & Gynecology | 1656 N California Blvd, Suite 300, Walnut Creek, CA 94596-4180 | 2007-02-13 |
| 1932287034 | Jeffrey A. Maier | Obstetrics & Gynecology | 1425 S Main St, Walnut Creek, CA 94596-5318 | 2006-11-02 |
| 1952489718 | Rosa Hye-kyung Won | Obstetrics & Gynecology | 1656 N California Blvd, Suite 300, Walnut Creek, CA 94596-4180 | 2006-11-01 |
| 1528162245 | Vanitha Mohta | Obstetrics & Gynecology | 1425 S Main St, Dept of Ob/gyn, Walnut Creek, CA 94596-5318 | 2006-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750874 | Dominika Dymarczyk | Obstetrics & Gynecology | 447 Hillcrest Dr, Redwood City, CA 94062-2949 | 2020-11-03 |
| 1710506340 | Delete | Obstetrics & Gynecology | 27008 Pierpont Ct, Santa Clarita, CA 91355-1602 | 2020-04-14 |
| 1386286979 | California Maternal Fetal Medicine Inc | Obstetrics & Gynecology | 1645 Creekside Dr Ste 200, Folsom, CA 95630-3832 | 2019-10-15 |
| 1235697244 | Maternal & Fetal Medicine Center of Southern Calif. Inc | Obstetrics & Gynecology | 17220 Rayen St, Sherwood Forest, CA 91325-2919 | 2019-03-08 |
| 1609393537 | James R. Shields, M.d., A Medical Corporation | Obstetrics & Gynecology | 7301 Medical Center Drive, #206, West Hills, CA 91307 | 2017-08-22 |
| 1912447137 | Baychildren's Physicians | Obstetrics & Gynecology | 3000 Colby St Ste 301, Berkeley, CA 94705-2058 | 2017-03-07 |
| 1396145116 | Ginni S. Rosenfeld, Md Inc | Obstetrics & Gynecology | 575 E Hardy St Ste 321, Inglewood, CA 90301-4052 | 2014-08-28 |
| 1801236401 | Ilina Datkhaeva Pluym | Obstetrics & Gynecology | 200 Medical Plaza Dr, Los Angeles, CA 90095-2401 | 2013-06-27 |
| 1003196692 | Los Angeles Perinatal Associates | Obstetrics & Gynecology | 529 E 10th St, 2nd Floor, Long Beach, CA 90813-4508 | 2011-08-26 |
| 1750660098 | Shravya Govindappagari | Obstetrics & Gynecology | 11210 Sardis Ave Apt 303, Los Angeles, CA 90064-4189 | 2011-08-04 |
| Find all providers with the same taxonomy | ||||
| City | WALNUT CREEK |
| Zip Code | 94596 |
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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.