Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Muir Health

Organization Physician Assistant · NPI 1174890305

John Muir Health provides Physician Assistant services in Walnut Creek, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122 Not confirmed with CMS for 14 years — call before visiting
Phone: (925) 939-3000
Fax: (925) 947-3255
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 140000285 (CA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1174890305
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationJohn Muir Health
Authorized official Michael Moody — Chief Financial Officer · (925) 941-2159
Other names John Muir Health - Walnut Creek Campus
NPI enumeratedNovember 16, 2011
Last updated in NPPESNovember 16, 2011
Mailing address1400 Treat Blvd, Walnut Creek, CA 94597-2142

Other providers in Walnut Creek