John Muir Trauma Physicians Billing Service
Organization Active NPI Neurological Surgery Physician · Walnut Creek, CA
NPI 1457400293 · NPPES record last updated Feb 23, 2023
Key facts
- NPI
- 1457400293
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Neurological Surgery Physician 207T00000X
- Legal business name
- JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE
- Practice address
- 1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 - Phone
- (925) 947-5331
- Fax
- (925) 941-2177
- NPI assigned
- Jan 10, 2007
- Organization subpart
- No
Authorized official
- Name
- Mr. Mike Thomas
- Title
- Ceo
- Phone
- (925) 941-2100
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 3
Practitioners 4
-
Piyush Aggarwal, MD
-
Susan H Cha, M.D.
-
Puskar Pattanayak, MBBS
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420001452 | CA | Part B Supplier - Clinic/Group Practice | 3476542515 |
Receives reassigned benefits from 806 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Concord, CA; Walnut Creek, CA |
National Provider Directory
- Tax ID family
- John Muir Trauma Physicians Billing Service
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician |
207T00000X | Yes | ||
| Neurology Physician |
2084N0400X |
Addresses
Primary practice location
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Mailing address
PO Box 9021
Walnut Creek, CA 94598-0921
Phone (925) 947-5331
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR002814A | Medicaid | CA |
Other providers in Walnut Creek, CA
- John Muir Magnetic Imaging Center
- John Muir Perinatal Medical Group
- John Muir Physician Network
- John Muir Trauma Physician Medical Group
- John Muir Trauma Physicians Billing Service
- John Muir Trauma Physicians Billing Service
- John Muir Trauma Physicians Billing Service
- John R. Rostkowski, M.D. P.C.
- John W. Scivally, D.P.M Inc
- Mary Rose John
All providers in Walnut Creek, CA · Neurological Surgery Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.