Organization Active NPI

Muir Family Physicians Medical Group Inc.

  • Family Medicine Physician
  • Brentwood, CA
National Provider Identifier
1295076933
Registry record updated Mar 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A64911 Issued in CA
Legal business name
MUIR FAMILY PHYSICIANS MEDICAL GROUP INC.
Practice address
3291 Walnut Blvd
Suite 100
Brentwood, CA 94513-4412
Phone
(925) 513-9495
NPI assigned
Mar 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2013

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

Authorized official

Name
Dr. Marie J. McGlynn, M.D.NPI 1184654279
Title
President
Phone
(925) 513-9495

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A64911 CA Primary

Addresses

Primary practice location

3291 Walnut Blvd
Suite 100
Brentwood, CA 94513-4412

Mailing address

3291 Walnut Blvd
Suite 100
Brentwood, CA 94513-4412
Phone (925) 513-9495

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130612000705 CA Part B Supplier - Clinic/Group Practice 8820237316 Receives reassigned benefits from 2 practitioners
Practice locations: Brentwood, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2063728Muir Family Physicians Medical Group, Inc.3291 Walnut Blvd Ste 100, Brentwood, CA 94513Provider-performed microscopyAug 6, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1362441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363824000000",
    "number": "1295076933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3291 WALNUT BLVD",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134412",
            "telephone_number": "925-513-9495",
            "fax_number": "925-626-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 WALNUT BLVD",
            "address_2": "SUITE 100",
            "city": "BRENTWOOD",
            "state": "CA",
            "postal_code": "945134412",
            "telephone_number": "925-513-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUIR FAMILY PHYSICIANS MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-05",
        "last_updated": "2013-03-21",
        "status": "A",
        "authorized_official_last_name": "MCGLYNN",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-513-9495",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A64911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.