Johnson O Adeyanju, M.D.
Individual provider Active NPI Internal Medicine Physician · Concord, CA
NPI 1467403147 · NPPES record last updated Jun 17, 2012
Key facts
- NPI
- 1467403147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- A49920 (CA)
- Practice address
- 2700 Grant St
Suite 200
Concord, CA 94520-2266 - Phone
- (925) 677-0500
- Fax
- (925) 677-0519
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Louisiana State University School of Medicine in New Orleans, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- John Muir Physician Network
Practice addresses (Care Compare)
2700 Grant St
Suite 200
Concord, CA 94520-2270
Phone (925) 674-0500
Hospital & facility affiliations
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 89.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.34
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090107000028 | CA | Practitioner - Internal Medicine | 9234292939 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A49920 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Trauma Physicians Billing Service | Current |
Accepting new patients | |
| John Muir Trauma Physicians Billing Service | Current |
Accepting new patients | |
| John Muir Physician Network | Current |
Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
2700 Grant St
Ste 200
Concord, CA 94520
Phone (925) 674-2609
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
Interoperability endpoints
- jadeyanju8085@ehr.johnmuirhealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A49920 | CA | Yes |
Addresses
Primary practice location
2700 Grant St
Suite 200
Concord, CA 94520-2266
Mailing address
Dept 34929
P.O. Box 39000
San Francisco, CA 94139-0001
Phone (925) 952-2828
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A499200 | Medicaid | CA |
Other providers in Concord, CA
- Charlyne Addai-Poku
- Addiction Research and Treatment, Inc
- Addus Healthcare
- Oluwatoni Adedeji
- Hodan Aden
- Vishwa Adhikari
- Susan J. Adler-Bressler
- Shahynaz Caesar Adnan
- Adobe Foot Clinic
- Adolescent Growth, Inc.
All providers in Concord, CA · Internal Medicine 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 Jun 17, 2012. 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.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.