Walnut Creek Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G42383 Issued in CA

Legal business name

WALNUT CREEK MEDICAL GROUP

Practice address

2621 Shadelands Drive
Walnut Creek, CA 94598

Phone

(925) 947-0417

Fax

(925) 947-4379

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Maeve O'Regan, M.D.

Title

Partner

Phone

(925) 947-0417

Specialties & licenses 5

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Lowen, MD

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1609803386
  NPD
• Grishma Jivantika Patel, MD

  • Internal Medicine Physician
  • Walnut Creek, CA
  • NPI 1700959483
  NPD

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1871582155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 SHADELANDS DRIVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-947-0417",
            "fax_number": "925-947-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2621 SHADELANDS DRIVE",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94598",
            "telephone_number": "925-947-0417",
            "fax_number": "925-947-4379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALNUT CREEK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "O'REGAN",
        "authorized_official_first_name": "MAEVE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "925-947-0417",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G42383",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A42969",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G370050",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55743",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walnut Creek Dentists Partnership
• Walnut Creek Elementary School District
• Walnut Creek Endoscopy Center LLC
• Walnut Creek Eye Medical Group, Inc
• Walnut Creek Heartscan, LLC
• Walnut Creek Modern Dentistry, Prof. Corp
• Walnut Creek Modern Dentistry, Prof. Corp.
• Walnut Creek Optical
• Walnut Creek Optical
• Walnut Creek Optometry Group

• Family Medicine Physician in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2015; 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.