NPIMap

Organization Active NPI

Muir Diablo Occupational Medicine Medical Group Inc.

  • Occupational Medicine Clinic/Center
  • Concord, CA
National Provider Identifier
1306063375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
MUIR DIABLO OCCUPATIONAL MEDICINE MEDICAL GROUP INC.
Practice address
2231 Galaxy CT
Concord, CA 94520-4933
Phone
(925) 685-7744
Fax
(925) 685-0462
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John Pierce Gunderson, M.D.NPI 1215074794
Title
Medical Director
Phone
(925) 685-1212

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
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

2231 Galaxy CT
Concord, CA 94520-4933

Mailing address

2231 Galaxy CT
Concord, CA 94520-4933
Phone (925) 685-7744

National Provider Directory

National Provider Directory

Locations

2231 Galaxy Ct
Concord, CA 94520
Phone (925) 685-1779

Practitioners & affiliated clinicians

Practitioners 4

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": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306063375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 GALAXY CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204933",
            "telephone_number": "925-685-7744",
            "fax_number": "925-685-0462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 GALAXY CT",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945204933",
            "telephone_number": "925-685-7744",
            "fax_number": "925-685-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUIR DIABLO OCCUPATIONAL MEDICINE MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUNDERSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PIERCE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "925-685-1212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.