Active NPI
Ralph Wesley Mutchler, M.D.
- Diagnostic Radiology Physician
- Walnut Creek, CA
National Provider Identifier
1114965654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G13724
- Practice address
- 2125 Oak Grove Rd
#200
Walnut Creek, CA 94598-2536 - Phone
- (925) 296-7150
- Fax
- (925) 296-7171
- NPI assigned
- Jun 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G13724 | CA | Primary |
Addresses
Primary practice location
2125 Oak Grove Rd
#200
Walnut Creek, CA 94598-2536
Mailing address
2125 Oak Grove Rd
#200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G13724 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Call Coverage Medical Group, Inc. | Past | Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Diagnostic Radiology | Past | Accepting new patients |
| John Muir Health | Past | Accepting new patients | |
| Neuroscan | Diagnostic Radiology | Past | Accepting new patients |
| John Muir Magnetic Imaging Center | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 5
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.
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Diagnostic Radiology
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427932800000",
"number": "1114965654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2125 OAK GROVE RD",
"address_2": "#200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982536",
"telephone_number": "925-296-7150",
"fax_number": "925-296-7171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 OAK GROVE RD",
"address_2": "#200",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982536",
"telephone_number": "925-296-7150",
"fax_number": "925-296-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUTCHLER",
"first_name": "RALPH",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2015-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G13724",
"primary": true
}
],
"identifiers": [],
"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 Apr 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.