NPIMap

Organization Active NPI

John Muir Trauma Physicians Billing Service

  • Hospitalist Physician
  • Walnut Creek, CA
National Provider Identifier
1093864837
Registry record updated Feb 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE
Practice address
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone
(925) 947-5331
Fax
(925) 941-2177
NPI assigned
Jan 10, 2007
Last updated
Feb 23, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
JOHN MUIR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 23, 2023

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

Authorized official

Name
Mike Thomas
Title
Ceo
Phone
(925) 941-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X NU Primary

Addresses

Primary practice location

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Mailing address

1400 Treat Blvd
3Rd Floor
Walnut Creek, CA 94597-2142
Phone (925) 947-5331

Other identifiers 1

IdentifierTypeStateIssuer
GR0028141MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050420001452 CA Part B Supplier - Clinic/Group Practice 3476542515 Receives reassigned benefits from 806 practitioners
3 other NPIs on this enrollment
Practice locations: Concord, CA; Walnut Creek, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
John Muir Trauma Physicians Billing Service4 organizations share this tax ID, including this one
Part of
John Muir Med Ctr Path

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 815

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 815

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677110400000",
    "number": "1093864837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TREAT BLVD",
            "address_2": "3RD FLOOR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972142",
            "telephone_number": "925-947-5331",
            "fax_number": "925-941-2177"
        },
        {
            "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": "925-947-5331",
            "fax_number": "925-941-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN MUIR HEALTH",
        "enumeration_date": "2007-01-10",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "925-941-2100"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0028141",
            "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 Feb 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.