Active NPI
Tri-Valley Orthopedic Specialists, Inc
- Orthopaedic Surgery Physician
- Pleasanton, CA
National Provider Identifier
1043321680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- TRI-VALLEY ORTHOPEDIC SPECIALISTS, INC
- Practice address
- 5565 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-4001 - Phone
- (925) 463-0470
- Fax
- (925) 463-0473
- NPI assigned
- Aug 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Deborah Rhoton
- Title
- Billing Department Manager
- Phone
- (925) 560-9300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Orthopaedic Hand Surgery Physician | 207XS0106X |
Addresses
Primary practice location
5565 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-4001
Mailing address
5601 Norris Canyon Rd
Suite130
San Ramon, CA 94583-5407
Phone (925) 275-1133
Other names 1
- Tri-Valley Orthopedic and Sports Medical Group, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031219000786 | CA | Part B Supplier - Clinic/Group Practice | 3577461151 |
Receives reassigned benefits from 29 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Pleasanton, CA; San Ramon, CA; Tracy, CA |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Orthopaedic Surgery Physician
- Pleasanton, CA
- NPI 1184808156
O20031219000786
-
- Orthopaedic Surgery Physician
- Tracy, CA
- NPI 1609987254
O20031219000786
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1801883731
O20031219000786
-
- Orthopaedic Surgery Physician
- Livermore, CA
- NPI 1467563007
O20031219000786
National Provider Directory
National Provider DirectoryLocations
5565 W Las Positas Blvd
Ste 320
Pleasanton, CA 94588
Phone (925) 460-0454
Interoperability endpoints
- https://api.platform.athenahealth.com/13086/brand/1/csg/1/fhir/r4
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1209945600000",
"number": "1043321680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5601 NORRIS CANYON RD",
"address_2": "SUITE130",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945835407",
"telephone_number": "925-275-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 W LAS POSITAS BLVD",
"address_2": "SUITE 320",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884001",
"telephone_number": "925-463-0470",
"fax_number": "925-463-0473"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI-VALLEY ORTHOPEDIC SPECIALISTS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-31",
"last_updated": "2008-05-05",
"status": "A",
"authorized_official_last_name": "RHOTON",
"authorized_official_first_name": "DEBORAH",
"authorized_official_title_or_position": "BILLING DEPARTMENT MANAGER",
"authorized_official_telephone_number": "925-560-9300",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "207XS0106X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Tri-Valley Orthopedic and Sports Medical Group, Inc.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pleasanton, CA
- Gina Marie Trentacosti, OD
- Janae Trevillion
- Tri Valley Cardiology Medical Office
- Tri-Valley Ecg Medical Group Inc
- Tri-Valley Orthopedic and Sports Medical Group Inc
- Tri-Valley Pediatrics, Inc.
- Tri-Valley Pharmacy Corporation
- Tri-Valley Physicians
- Tri-Valley Psychological Services, PC
- Tri-Valley Surgery Center, L.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.