Healthcare Provider Details

I. General information

NPI: 1801047931
Provider Name (Legal Business Name): TRI-VALLEY MEDICAL ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

87 FENTON ST STE 210
LIVERMORE CA
94550-4159
US

IV. Provider business mailing address

87 FENTON ST STE 210
LIVERMORE CA
94550-4159
US

V. Phone/Fax

Practice location:
  • Phone: 925-371-8885
  • Fax: 925-371-8884
Mailing address:
  • Phone: 925-371-8885
  • Fax: 925-371-8884

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QS1201X
TaxonomySleep Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. TSUNG PETER WONG
Title or Position: PRESIDENT
Credential: MD
Phone: 925-371-8885