Individual provider Active NPI

Malcolm C Johnson, MD

  • Emergency Medicine Physician
  • Walnut Creek, CA
National Provider Identifier
1003830316
Registry record updated Jan 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A94962 Issued in CA
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

Updated by the provider on Jan 21, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A949620MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070607000180 CA Practitioner - Emergency Medicine 0941231237 Reassigns benefits to 3 organizations

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
Medamerica Physician Solutions PCGroup PAC ID 8729221809, 28 clinicians
Cep America - Auc PCGroup PAC ID 9537481692, 26 clinicians

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 100Reported as group
Quality
90
Improvement activities
40
Cost
78.43

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94962CAMDEmergency Medicine Physician
MD00046336WAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medamerica Physician Solutions PC Emergency Medicine CurrentSince Aug 19, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Cep America-California Emergency Medicine CurrentSince Dec 1, 2006 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Dec 1, 2006 Accepting new patients
Cep America - Auc PC CurrentSince Jan 1, 2021 Accepting new patients
Cep America - Auc PC CurrentSince Jan 1, 2021 Accepting new patients
Brockton Podiatry Group a Prof Corp PastSince Feb 9, 2009 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.