Active NPI
Malcolm C Johnson, MD
- Emergency Medicine Physician
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A94962
- Practice address
- 1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 - Phone
- (925) 939-3000
- NPI assigned
- Jul 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | MD00046336 | WA | |
| Emergency Medicine Physician | 207P00000X | A94962 | CA | Primary |
Addresses
Primary practice location
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Mailing address
1200 Gough Apt 17C
San Francisco, CA 94109
Phone (404) 734-6252
Other practice location 1
1321 Colby Ave
Everett, WA 98201-1665
Phone (425) 261-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A949620 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
112 La Casa Via
Suite 135
Walnut Creek, CA 94598-3023
Phone (925) 471-4291
16 E Fern Ave
Suite B
Redlands, CA 92373-4000
Phone (909) 435-4852
240 La Casa Via
Suite 200
Walnut Creek, CA 94598-4866
Phone (925) 945-6644
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 110 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A94962 | CA | MD | Emergency Medicine Physician |
| MD00046336 | WA | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medamerica Physician Solutions PC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - Auc PC | Current | Accepting new patients | |
| Cep America - Auc PC | Current | Accepting new patients | |
| Brockton Podiatry Group a Prof Corp | Past | Accepting new patients | |
| Peachtree Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| California Emergency Physician Medical Group | Past | Accepting new patients | |
| Peachtree Emergency Associates | Emergency Medicine | Past | Accepting new patients |
Locations
2540 East St
Concord, CA 94520
Phone (925) 674-2228
3300 Renner Dr
Fortuna, CA 95540
Phone (707) 725-3361
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
16 E Fern Ave
Ste B
Redlands, CA 92373
Phone (909) 435-4852
4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156
1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
900 Hyde St
San Francisco, CA 94109
Phone (415) 353-6000
2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
240 La Casa Via
Ste 200
Walnut Creek, CA 94598
Phone (925) 280-0800
112 La Casa Via
Ste 135
Walnut Creek, CA 94598
Phone (925) 378-4040
Interoperability endpoints
- malcolm.johnson.1@20515.direct.athenahealth.com
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Jovive Wound Care
- Clinic/Center
- Walnut Creek, CA
- NPI 1487237111
Emergency Medicine
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- General Practice Physician
- Newport News, VA
- NPI 1104657329
-
- Foot & Ankle Surgery Podiatrist
- Redlands, CA
- NPI 1275867228
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1962791293
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1407894876
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1508039975
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba John Muir Health, Walnut Creek Medical Center
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
dba John Muir Health Medical Center, Concord Campus
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1003830316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 GOUGH APT 17C",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94109",
"telephone_number": "404-734-6252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983122",
"telephone_number": "925-939-3000"
}
],
"practiceLocations": [
{
"address_1": "1321 Colby Ave",
"address_purpose": "LOCATION",
"city": "Everett",
"state": "WA",
"postal_code": "982011665",
"country_code": "US",
"telephone_number": "425-261-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MALCOLM",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-27",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "WA",
"license": "MD00046336",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "A94962",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A949620",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.