NPIMap

Organization Active NPI

John Muir Health

Doing business as John Muir Health - Concord Campus

  • Nurse Practitioner
  • Concord, CA
National Provider Identifier
1336416569
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
140000285 Issued in CA
Legal business name
JOHN MUIR HEALTH
Doing business as
John Muir Health - Concord Campus
Practice address
2540 East St
Concord, CA 94520-1906
Phone
(925) 682-8200
Fax
(925) 674-2009
NPI assigned
Nov 16, 2011
Organization subpart
Yes
Parent organization
JOHN MUIR HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Authorized official

Name
Mr. Michael Thomas
Title
Chief Executive Officer
Phone
(925) 212-0216

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 140000285 CA Primary

Addresses

Primary practice location

2540 East St
Concord, CA 94520-1906

Mailing address

1400 Treat Blvd
Walnut Creek, CA 94597-2142
Phone (925) 939-3000

Other names 1

  • John Muir Health - Concord Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mt Diablo Medical Cente7 organizations share this tax ID, including this one
Part of
Mt Diablo Medical Cente

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1321401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1336416569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 TREAT BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972142",
            "telephone_number": "925-939-3000",
            "fax_number": "925-941-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 EAST ST",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945201906",
            "telephone_number": "925-682-8200",
            "fax_number": "925-674-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MUIR HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN MUIR HEALTH",
        "enumeration_date": "2011-11-16",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "925-212-0216",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "140000285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Muir Health - Concord Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 4, 2024; 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.