Organization
JOHN MUIR TRAUMA PHYSICIANS BILLING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TED WANG (CFO)
(925) 939-3000
Entity
Organization
Contact information
Practice address
1601 YGNACIO VALLEY RD, WALNUT CREEK, CA 94598-3122
(925) 947-5331
(925) 941-2177
Mailing address
1400 TREAT BLVD FL 3, WALNUT CREEK, CA 94597-2142
(844) 380-3004
(925) 941-2177
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
—
—
207L00000X
Anesthesiology Physician
—
—
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0127X
Trauma Surgery Physician
Primary
—
—
208800000X
Urology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0028142
—
CA
05
—
GR0028143
—
CA
05
—
GR0028144
—
CA
05
—
GR0028145
—
CA
05
—
GR0028148
—
CA
05
—
GR0028149
—
CA
05
—
GR002814A
—
CA
05
—
GR002814G
—
CA
05
—
GR002814H
—
CA
05
—
GR002814J
—
CA
05
—
GR002814K
—
CA
Enumeration date
01/09/2007
Last updated
02/16/2026
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