Healthcare Provider Details

I. General information

NPI: 1225820277
Provider Name (Legal Business Name): TRIVALLEY VASECTOMY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2025
Last Update Date: 05/17/2025
Certification Date: 05/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1985 FIRST ST STE 205
LIVERMORE CA
94550-4485
US

IV. Provider business mailing address

1985 FIRST ST STE 205
LIVERMORE CA
94550-4485
US

V. Phone/Fax

Practice location:
  • Phone: 925-701-1090
  • Fax:
Mailing address:
  • Phone: 925-701-1090
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ELYAS PARSA
Title or Position: OWNER
Credential:
Phone: 925-701-1090