Healthcare Provider Details

I. General information

NPI: 1972551679
Provider Name (Legal Business Name): JOHN A. LINFOOT M. D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2006
Last Update Date: 03/26/2020
Certification Date: 03/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

978 2ND ST STE 200
LAFAYETTE CA
94549-4545
US

IV. Provider business mailing address

978 2ND ST STE 200
LAFAYETTE CA
94549-4545
US

V. Phone/Fax

Practice location:
  • Phone: 925-962-6988
  • Fax: 925-962-6987
Mailing address:
  • Phone: 925-962-1240
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberG6915
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207UN0902X
TaxonomyNuclear Imaging & Therapy Physician
License NumberG6915
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: