Individual provider Active NPI

John Benjamin Colby, MD, PHD

  • Neuroradiology Physician
  • Greenbrae, CA
National Provider Identifier
1700205374
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A139185 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7301
NPI assigned
Apr 10, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A139185 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

500 Redwood Blvd Ste 300
Novato, CA 94947-6921
Phone (415) 884-3415

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
I20200527000629 CA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9931520194 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of California, Geffen School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prima Medical FoundationGroup PAC ID 6406040138, 30 clinicians

Practice addresses (Care Compare)

1240 S Eliseo Dr
Suite 103
Greenbrae, CA 94904-2026
Phone (415) 925-7301

1260 S Elideo Dr
Greenbrae, CA 94904-2009

1350 S Elideo Dr
Greenbrae, CA 94904-2011

1701 4TH St
Suite 120
Santa Rosa, CA 95404-3661
Phone (707) 523-7025

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7301

335 S McDowell Blvd
Petaluma, CA 94954-3507
Phone (415) 493-3800

347 Andrieux St
Sonoma, CA 95476-6811
Phone (707) 935-5020

4000 Civic Ctr Dr
Suite 209
San Rafael, CA 94903-5233
Phone (415) 925-8745

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.9 of 100Reported as group
Quality
91.91
Improvement activities
40
Cost
79.27

Merit-based Incentive Payment System (MIPS)

Final score
92.69 of 100Reported as group
Quality
96.63
Improvement activities
40
Cost
81.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A139185CAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Resources Company, LLC CurrentSince Jun 1, 2024 Accepting new patients
California Advanced Imaging Medical Associates Inc Neuroradiology CurrentSince Jul 1, 2020 Accepting new patients
Prima Medical Foundation CurrentSince Nov 19, 2020 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2025 Accepting new patients
Prima Medical Group, Inc. Past Accepting new patients
Marin General Hospital Past Accepting new patients

Locations

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

100 Drakes Landing Rd
Ste 140
Greenbrae, CA 94904
Phone (415) 461-4282

1350 S Eliseo Dr
Ste 140
Greenbrae, CA 94904
Phone (415) 925-7450

1260 S Eliseo Dr
Ste 101
Greenbrae, CA 94904
Phone (415) 461-9033

1260 S Eliseo Dr
Ste 100
Greenbrae, CA 94904
Phone (415) 461-4282

1240 S Eliseo Dr
Ste 103
Greenbrae, CA 94904
Phone (415) 461-7770

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

500 Redwood Blvd
#300
Novato, CA 94947
Phone (415) 884-3418

75 Rowland Way
Ste 250
Novato, CA 94945
Phone (415) 878-2910

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

335 S McDowell Blvd
Petaluma, CA 94954
Phone (415) 493-3800

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

100 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 696-4140

4000 Civic Center Dr
Ste 110
San Rafael, CA 94903
Phone (401) 722-1494

4000 Civic Center Dr
Ste 209
San Rafael, CA 94903
Phone (415) 492-4840

1701 4th St
Ste 120
Santa Rosa, CA 95404
Phone (707) 523-7025

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

250 W Main St
Woodland, CA 95695
Phone (916) 668-6100

Interoperability endpoints

  • Direct secure messaging: jcolby72462@direct-ucsfmedicalcenter.org

Organizations & group practices 8

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 4

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1700205374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 REDWOOD BLVD STE 300",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949476921",
            "telephone_number": "415-884-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBY",
        "first_name": "JOHN",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-10",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A139185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.