Healthcare Provider Details

I. General information

NPI: 1043321680
Provider Name (Legal Business Name): TRI-VALLEY ORTHOPEDIC SPECIALISTS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 05/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5565 W LAS POSITAS BLVD SUITE 320
PLEASANTON CA
94588-4001
US

IV. Provider business mailing address

5601 NORRIS CANYON RD SUITE130
SAN RAMON CA
94583-5407
US

V. Phone/Fax

Practice location:
  • Phone: 925-463-0470
  • Fax: 925-463-0473
Mailing address:
  • Phone: 925-275-1133
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBORAH RHOTON
Title or Position: BILLING DEPARTMENT MANAGER
Credential:
Phone: 925-560-9300