John Muir Health
NPI 1174890305ActiveOrganization· Nurse Practitioner· Walnut Creek, CA
Nurse Practitioner in Walnut Creek, California, registered in NPPES in November 2011, part of John Muir Health. The authorized official on file is Michael D. Moody, Chief Financial Officer.
Overview
| NPI | 1174890305 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | John Muir Health |
| NPI issued | Nov 16, 2011 |
| Last updated in NPPES | Nov 16, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 140000285 | CA |
| Physician Assistant | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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