John W Carrigg MD a Prof Corporation

Primary specialty

SpecialistTaxonomy code 174400000X

License

C032894 Issued in CA

Legal business name

JOHN W CARRIGG MD A PROF CORPORATION

Practice address

12 Camino Encinas
Suite 14
Orinda, CA 94563-3395

Phone

(925) 254-6710

Fax

(925) 254-6713

NPI assigned

Jul 30, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Wyatt Carrigg, M.D.

Title

President

Phone

(925) 254-6710

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790790509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CAMINO ENCINAS",
            "address_2": "SUITE 14",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633395",
            "telephone_number": "925-254-6710",
            "fax_number": "925-254-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CAMINO ENCINAS",
            "address_2": "SUITE 14",
            "city": "ORINDA",
            "state": "CA",
            "postal_code": "945633395",
            "telephone_number": "925-254-6710",
            "fax_number": "925-254-6713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W CARRIGG MD A PROF CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARRIGG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-254-6710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "C032894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C032894",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Jenks, PSY.D.
• Kenneth John Jensen, MD
• Jaehee Jeong, RPH
• Jerry H. Gelbart, M.D., Inc.
• John Muir Physicians PC
• Ernest A Kahl, D.D.S.
• Bryn Johanna Kahn, PSY.D.
• Paul M. Kasrovi, DDS,MS
• Brian Kimball Kay, MFT, LPCC
• Paula Keebler, NBC-HWC

• Specialist in Orinda, CA
• Providers in Orinda, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.