Individual provider Active NPI

John Henry Vanuden IV, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1750505145
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A91415 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Apr 13, 2007
Last updated
Apr 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A91415 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080616000369 CA Practitioner - Diagnostic Radiology 2860563046 Reassigns benefits to 11 organizations
I20191031002613 HI Practitioner - Diagnostic Radiology 2860563046 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, San Diego School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bay Imaging Consultants Medical Group IncGroup PAC ID 9537069125, shared by 6 NPIs, 133 clinicians
County of Santa ClaraGroup PAC ID 1254244973, shared by 46 NPIs, 1,000 clinicians

Practice addresses (Care Compare)

1320 Travis Blvd
Suite C
Fairfield, CA 94533-4654
Phone (707) 646-4000

2705 Ridgeview LN
Walnut Creek, CA 94598-4557
Phone (707) 646-4646

3901 Lone Tree Way
Antioch, CA 94509-6200
Phone (925) 779-7212

500 Ala Moana Blvd
Suite 7 421
Honolulu, HI 96813-4902
Phone (925) 296-7150

751 S Bascom Ave
San Jose, CA 95128-2604
Phone (408) 885-5000

9062 Broadway Ter
Oakland, CA 94611-1952
Phone (707) 646-4646

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
61 of 100Reported as group
Quality
59.41
Promoting interoperability
0
Improvement activities
40
Cost
71.45

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A91415CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Santa Clara CurrentSince Oct 7, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince May 1, 2010 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
County of Santa Clara CurrentSince Oct 7, 2024 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Queens North Hawaii Community Hospital Family Medicine CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara Family Medicine Current Accepting new patients
County of Santa Clara CurrentSince Oct 7, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Northbay Healthcare Group CurrentSince Jan 28, 2025 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
County of Santa Clara CurrentSince Oct 7, 2024 Accepting new patients
John Muir Trauma Physicians Billing Service Family Medicine CurrentSince Apr 14, 2017 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince May 11, 2024 Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Delta Medical Center Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
John Muir Health Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Health Past Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients

Locations (25 of 26)

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2540 East St
Concord, CA 94520
Phone (925) 674-2228

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

1320 Travis Blvd
Ste C
Fairfield, CA 94533
Phone (707) 624-7400

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1111 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4018

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

2125 Oak Grove Rd
Ste 200
Walnut Creek, CA 94598
Phone (925) 993-9440

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

Interoperability endpoints

  • Direct secure messaging: jvanuden201124@santaclaravalley.direct-ci.net

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 7

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": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1750505145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANUDEN",
        "first_name": "JOHN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-13",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A91415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.