NPIMap

Organization Active NPI

Journey Health Medical Group of California

  • Internal Medicine Physician
  • Concord, CA
National Provider Identifier
1114656816
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOURNEY HEALTH MEDICAL GROUP OF CALIFORNIA
Practice address
2415 High School Ave Ste 700
Concord, CA 94520-1879
Phone
(800) 674-7967
Fax
(800) 674-7967
NPI assigned
Jun 8, 2022
Last updated
Jan 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Philip Morris
Title
Owner
Phone
(800) 674-7967

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary
Primary Care Clinic/Center 261QP2300X
Community Health Worker 172V00000X

Addresses

Primary practice location

2415 High School Ave Ste 700
Concord, CA 94520-1879

Mailing address

2415 High School Ave Ste 700
Concord, CA 94520-1879
Phone (800) 674-7967

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220818001868 CA Part B Supplier - Clinic/Group Practice 4284017526 Receives reassigned benefits from 5 practitioners
Practice locations: Concord, CA; Oakland, CA

National Provider Directory

National Provider Directory

Locations

2415 High School Ave
Ste 700
Concord, CA 94520
Phone (415) 848-9111

2323 Broadway
Oakland, CA 94612
Phone (510) 457-1064

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1654646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1114656816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 700",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201879",
            "telephone_number": "800-674-7967",
            "fax_number": "800-674-7967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 HIGH SCHOOL AVE STE 700",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201879",
            "telephone_number": "800-674-7967",
            "fax_number": "800-674-7967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HEALTH MEDICAL GROUP OF CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-08",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "800-674-7967"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.