Individual provider Active NPI

John Judson Trix, MS, RN, APRN-BC

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1477745685
Registry record updated Aug 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
17156 Issued in CA
Practice address
122 La Casa Via Ste 120
Walnut Creek, CA 94598-3019
Phone
(925) 941-4058
Fax
(925) 941-4049
NPI assigned
Aug 11, 2007
Last updated
Aug 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17156 CA Primary

Addresses

Primary practice location

122 La Casa Via Ste 120
Walnut Creek, CA 94598-3019

Mailing address

1450 Treat Blvd Ste 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2828

Other practice location 1

2100 Lincoln Village Cir
Apt 2208
Larkspur, CA 94939-1613
Phone (415) 730-8464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140925002117 CA Practitioner - Nurse Practitioner 9335369388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Michigan Medical School, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Muir Physician NetworkGroup PAC ID 6608789813, 488 clinicians

Practice addresses (Care Compare)

122 La Casa Via
Suite 120
Walnut Creek, CA 94598-3019
Phone (925) 941-4058

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.32 of 100Reported as group
Quality
89.54
Promoting interoperability
100
Improvement activities
40
Cost
74.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
17156CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Physician Network CurrentSince Aug 1, 2022 Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

122 La Casa Via
Ste 120
Walnut Creek, CA 94598
Phone (925) 341-4235

1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659398400000",
    "number": "1477745685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 TREAT BLVD STE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945972168",
            "telephone_number": "925-952-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LA CASA VIA STE 120",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945983019",
            "telephone_number": "925-941-4058",
            "fax_number": "925-941-4049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 Lincoln Village Cir",
            "address_2": "Apt 2208",
            "address_purpose": "LOCATION",
            "city": "Larkspur",
            "state": "CA",
            "postal_code": "949391613",
            "country_code": "US",
            "telephone_number": "415-730-8464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIX",
        "first_name": "JOHN",
        "middle_name": "JUDSON",
        "name_prefix": "Mr.",
        "credential": "MS, RN, APRN-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-11",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.