Healthcare Provider Details

I. General information

NPI: 1760602726
Provider Name (Legal Business Name): JOHN MUIR HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 01/04/2024
Certification Date: 01/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2540 EAST ST
CONCORD CA
94520-1906
US

IV. Provider business mailing address

5003 COMMERCIAL CIR
CONCORD CA
94520-1268
US

V. Phone/Fax

Practice location:
  • Phone: 925-939-3000
  • Fax: 925-941-2236
Mailing address:
  • Phone: 925-939-3000
  • Fax: 925-941-2236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateCA

VIII. Authorized Official

Name: MR. MICHAEL THOMAS
Title or Position: CEO
Credential:
Phone: 925-212-0216