Organization · Type 2 NPI

John Muir Health

Nurse Practitioner · Walnut Creek, CA

NPI number 1174890305 Active

Practice location

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122

Call (925) 939-3000 Map

Fax (925) 947-3255

Mailing address

1400 Treat Blvd
Walnut Creek, CA 94597-2142

Specialties and licenses

Taxonomy	Code	License
Physician Assistant	363A00000X	None listed
Nurse Practitioner Primary	363L00000X	140000285 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

181 other providers at this address

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NPI record

NPI: 1174890305
Entity type: Organization (Type 2)
Issued: Nov 16, 2011
Last updated: Nov 16, 2011
Status: Active
Subpart: Yes of John Muir Health

Other names

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John Muir Health - Walnut Creek Campus · doing business as

Authorized official

Mr. Michael D. Moody
Chief Financial Officer
(925) 941-2159

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174890305

John Muir Health's National Provider Identifier is 1174890305, issued on Nov 16, 2011. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Walnut Creek, CA. The record was last updated on Nov 16, 2011.