Individual provider Active NPI

Dolores Katarzyna Musco, M.D.

  • Family Medicine Physician
  • San Ramon, CA
National Provider Identifier
1679601611
Registry record updated May 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A77723 Issued in CA
Practice address
12677 Alcosta Blvd Ste 175
San Ramon, CA 94583-4423
Phone
(925) 856-5668
Fax
(925) 856-4020
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A77723 CA Primary

Addresses

Primary practice location

12677 Alcosta Blvd Ste 175
San Ramon, CA 94583-4423

Mailing address

12677 Alcosta Blvd Ste 175
San Ramon, CA 94583-4423
Phone (925) 856-5668

Other identifiers 3

IdentifierTypeStateIssuer
00A777230OtherCABLUE SHIELD
201448585OtherCABLUE CROSS
7722555OtherCAAETNA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041215000824 CA Practitioner - Family Practice 8022075647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

3903 Lone Tree Way
Suite 104
Antioch, CA 94509-6251
Phone (925) 755-1255

Hospital & facility affiliations

  • John Muir Home Health Services Home health agency, Concord, CA, CCN 057276
  • John Muir Medical Center - Walnut Creek Campus Hospital, Walnut Creek, CA, CCN 050180
  • San Ramon Regional Medical Center Hospital, San Ramon, CA, CCN 050689

Merit-based Incentive Payment System (MIPS)

Final score
90.98 of 100Reported as apm
Quality
80.39
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
77723CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Apr 1, 2018 Accepting new patients
Bass Medical Group CurrentSince Apr 1, 2018 Accepting new patients
Bass Medical Group Family Medicine Current Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients
John Muir Health Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

2301 Camino Ramon
Ste 180
San Ramon, CA 94583
Phone (925) 244-1240

Interoperability endpoints

  • Direct secure messaging: dmusco35490@ehr.johnmuirhealth.com

Organizations & group practices 5

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

Hospital & facility affiliations 3

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": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747180800000",
    "number": "1679601611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 ALCOSTA BLVD STE 175",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834423",
            "telephone_number": "925-856-5668",
            "fax_number": "925-856-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 ALCOSTA BLVD STE 175",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945834423",
            "telephone_number": "925-856-5668",
            "fax_number": "925-856-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCO",
        "first_name": "DOLORES",
        "middle_name": "KATARZYNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2025-05-14",
        "certification_date": "2025-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A77723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00A777230",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "201448585",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7722555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Ramon, CA

Sources for this page

Verify at the official NPI Registry.