NPIMap

Individual provider Active NPI

John A Dana Jr., M.D.

  • Physical Medicine & Rehabilitation Physician
  • Walnut Creek, CA
National Provider Identifier
1114091105
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G76791 Issued in CA
Practice address
1450 Treat Blvd # 200
Walnut Creek, CA 94597-2168
Phone
(925) 296-9750
Fax
(925) 296-9042
NPI assigned
Nov 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 7678772-1205 UT
Physical Medicine & Rehabilitation Physician 208100000X G76791 CA Primary

Addresses

Primary practice location

1450 Treat Blvd # 200
Walnut Creek, CA 94597-2168

Mailing address

1450 Treat Blvd # 200
Walnut Creek, CA 94597-2168
Phone (925) 952-2888

Other practice location 1

8074 S 1300 E
Sandy, UT 84094-0743
Phone (801) 561-3400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100112000166 CA Practitioner - Physical Medicine and Rehabilitation 6901947076 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, San Diego School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

1450 Treat Blvd
Suite 200
Walnut Creek, CA 94597-2168
Phone (925) 296-9860

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G76791CAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network Multi-Specialty CurrentSince Mar 19, 2019 Accepting new patients
John Muir Health Past Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients
Riverwoods Urgent Care Center LC Multi-Specialty PastSince Oct 6, 2003 Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

3480 Buskirk Ave
Ste 150A
Pleasant Hill, CA 94523

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828

1450 Treat Blvd
#200
Walnut Creek, CA 94597
Phone (925) 254-9840

1450 Treat Blvd
Ste 200
Walnut Creek, CA 94597
Phone (925) 296-7340

Interoperability endpoints

  • Direct secure messaging: john.dana@chartlogic.direct-ci.com
  • Direct secure messaging: jdana127260@ehr.johnmuirhealth.com
  • FHIR API: https://api.platform.athenahealth.com/15493/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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 12

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": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1114091105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD # 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-296-9750",
            "fax_number": "925-296-9042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8074 S 1300 E",
            "address_purpose": "LOCATION",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840940743",
            "country_code": "US",
            "telephone_number": "801-561-3400",
            "fax_number": "801-225-1525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANA",
        "first_name": "JOHN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "UT",
            "license": "7678772-1205",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G76791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.