# JOHN MUIR HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** JOHN MUIR HEALTH
- **Other names:** John Muir Health - Walnut Creek Campus
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174890305
- **Legal business name:** JOHN MUIR HEALTH
- **Authorized official:** MR. MICHAEL D. MOODY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (925) 941-2159

## Contact information

- **Practice address:** 1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
- **Practice address phone:** (925) 939-3000
- **Practice address fax:** (925) 947-3255
- **Mailing address:** 1400 TREAT BLVD, WALNUT CREEK, CA 94597-2142
- **Mailing address phone:** (925) 939-3000
- **Mailing address fax:** (925) 941-2236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | 140000285 | CA | Yes |

## Other

- **Enumeration date:** 11/16/2011
- **Last updated:** 11/16/2011