Active NPI
John Muir Trauma Physicians Billing Service
- Hospitalist Physician
- Walnut Creek, CA
National Provider Identifier
1720137565
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- Legal business name
- JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE
- Practice address
- 1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 - Phone
- (925) 947-5331
- Fax
- (925) 941-2177
- NPI assigned
- Jan 10, 2007
- Organization subpart
- Yes
- Parent organization
- JOHN MUIR HEATH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Mike Thomas
- Title
- Ceo
- Phone
- (925) 941-2100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | Primary |
Addresses
Primary practice location
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Mailing address
1400 Treat Blvd
3Rd Floor
Walnut Creek, CA 94597-2142
Phone (925) 947-5331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR002814D | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050420001452 | CA | Part B Supplier - Clinic/Group Practice | 3476542515 |
Receives reassigned benefits from 806 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Concord, CA; Walnut Creek, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
O20050420001452
-
- Neurological Surgery Physician
- Walnut Creek, CA
- NPI 1457400293
O20050420001452
-
- Trauma Surgery Physician
- Walnut Creek, CA
- NPI 1962551861
O20050420001452
National Provider Directory
National Provider Directory- Tax ID family
- John Muir Trauma Physicians Billing Service
- Part of
- Private OB Medical Grou
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Pediatric Cardiology Physician
- Walnut Creek, CA
- NPI 1801945647
-
- Hospitalist Physician
- Walnut Creek, CA
- NPI 1093864837
-
- Neurological Surgery Physician
- Walnut Creek, CA
- NPI 1457400293
Member of 3
Organizations this organization is a member of, according to the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Concord, CA
- NPI 1851336820
-
- Internal Medicine Physician
- Walnut Creek, CA
- NPI 1205271335
-
- Internal Medicine Physician
- Walnut Creek, CA
- NPI 1659320513
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677110400000",
"number": "1720137565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 TREAT BLVD",
"address_2": "3RD FLOOR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972142",
"telephone_number": "925-947-5331",
"fax_number": "925-941-2177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 YGNACIO VALLEY RD",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983122",
"telephone_number": "925-947-5331",
"fax_number": "925-941-2177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "JOHN MUIR HEATH",
"enumeration_date": "2007-01-10",
"last_updated": "2023-02-23",
"certification_date": "2023-02-23",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "MIKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "925-941-2100",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR002814D",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Walnut Creek, CA
- John Muir Perinatal Medical Group
- 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
- John R. Rostkowski, M.D. P.C.
- John W. Scivally, D.P.M Inc
- Mary Rose John
- Jessica Lee Iwalani Johns, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.