Provider Demographics
NPI:1972551679
Name:LINFOOT, JOHN A (M D)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:A
Last Name:LINFOOT
Suffix:
Gender:M
Credentials:M D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:978 2ND ST
Mailing Address - Street 2:STE 200
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4545
Mailing Address - Country:US
Mailing Address - Phone:925-962-1240
Mailing Address - Fax:
Practice Address - Street 1:978 2ND ST
Practice Address - Street 2:STE 200
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4545
Practice Address - Country:US
Practice Address - Phone:925-962-6988
Practice Address - Fax:925-962-6987
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG6915207UN0902X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207UN0902XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Imaging & Therapy
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000G69150Medicaid
CAA57653Medicare UPIN
CA000G69150Medicaid