MEDICARE: TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	213ES0103X	Foot & Ankle Surgery Podiatrist
2	207XS0106X	Orthopaedic Hand Surgery Physician
3	207X00000X	Orthopaedic Surgery Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CP2106	OTHER	CA	MEDICARE RAILROAD

General Provider Information

NPI Number	:	1801883731
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	4626 WILLOW RD
Second Line	:	SUITE 200
City	:	PLEASANTON
State	:	CA
Zip	:	94588-2710
Country	:	US
Telephone Number	:	925-469-0939
Fax Number	:	925-469-0165

Provider Business Practice Location Address
First Line	:	5601 NORRIS CANYON RD
Second Line	:	SUITE 130
City	:	SAN RAMON
State	:	CA
Zip	:	94583-5407
Country	:	US
Telephone Number	:	925-275-1133
Fax Number	:	925-275-1298

Authorized Official
Title or Position	:	BILLING DEPARTMENT MANAGER
Name	:	DEBORAH RHOTON
Credential	:
Telephone Number	:	925-469-0939

Provider Enumeration Date	:	10/05/2005
Last Update Date	:	02/27/2013

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1366445298 — RICHARD D ASH MD
Practice Location Address:

5601 NORRIS CANYON RD , SUITE 230
SAN RAMON, CA
94583-5407

Practice Phone: 925-277-7550
Practice Fax:

1144224742 — DR. FRANK CHI BING HSUEH M.D.
Practice Location Address:

5601 NORRIS CANYON RD , STE 340
SAN RAMON, CA
94583-5407

Practice Phone: 925-786-5322
Practice Fax:

1215927405 — DR. FREDERICK ANDERSON ROWE III M.D.
Practice Location Address:

5601 NORRIS CANYON RD , SUITE # 240
SAN RAMON, CA
94583-5407

Practice Phone: 925-901-1303
Practice Fax: 925-901-1302

1942275672 — DR. PATRICIA SUZANNE MASKA M.D.
Practice Location Address:

5601 NORRIS CANYON RD STE 240
SAN RAMON, CA
94583-5407

Practice Phone: 510-748-5363
Practice Fax: 925-289-4975

1659330249 — CYNTHIA AMY QUAN MD
Practice Location Address:

5601 NORRIS CANYON RD , SUITE 230
SAN RAMON, CA
94583-5407

Practice Phone: 925-277-7550
Practice Fax: 925-277-7555

Directions to “TRI-VALLEY ORTHOPEDIC AND SPORTS MEDICAL GROUP INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.