John Muir Perinatal Medical Group

Primary specialty

Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X

Legal business name

JOHN MUIR PERINATAL MEDICAL GROUP

Practice address

1656 N. Calfiornia Blvd.
Suite 300
Walnut Creek, CA 94596

Phone

(925) 941-7955

Fax

(925) 941-7986

NPI assigned

Jun 24, 2006

Last updated

Dec 17, 2009By the provider in NPPES

Organization subpart

Yes

Parent organization

JOHN MUIR PHYSICIAN NETWORKAs reported in NPPES

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

Authorized official

Name

M. Katherine Sorenson

Title

Vice President

Phone

(925) 952-2888

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• John Muir Physician Network

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1841407665

  O20031226000143

  Same enrollment

Part of

John Muir Medfoundation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• John Muir Physician Network

  • General Practice Physician
  • Walnut Creek, CA
  • NPI 1841407665
  NPPES parent name

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261008000000",
    "number": "1558397141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9017",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945980917",
            "telephone_number": "925-941-7985",
            "fax_number": "925-952-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 N. CALFIORNIA BLVD.",
            "address_2": "SUITE 300",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-941-7955",
            "fax_number": "925-941-7986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN MUIR PERINATAL MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOHN MUIR PHYSICIAN NETWORK",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-12-17",
        "status": "A",
        "authorized_official_last_name": "SORENSON",
        "authorized_official_first_name": "M.",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "925-952-2888"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR006875K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Muir Health
• John Muir Health (John Muir Medical Center Walnut Creek)
• John Muir Health (John Muir Health, Walnut Creek Medical Center)
• John Muir Health (John Muir Health - Walnut Creek Campus)
• John Muir Magnetic Imaging Center
• 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

• Maternal & Fetal Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Maternal & Fetal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.