Tice Valley Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TICE VALLEY RESIDENTIAL CARE

Practice address

2206 Tice Valley Blvd
Walnut Creek, CA 94595-2616

Phone

(925) 705-7841

NPI assigned

May 14, 2026

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mark S Gutierrez

Title

Manager

Phone

(650) 580-7748

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1063341444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2206 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952616",
            "telephone_number": "925-705-7841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2206 TICE VALLEY BLVD",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945952616",
            "telephone_number": "925-705-7841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TICE VALLEY RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "650-580-7748"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene Tibayan
• Tice Valley Community Healthcare, LLC
• Tice Valley Optical
• Tice Valley Physcial Therapy Inc.
• Tice Valley Physical Therapy and Sports Medicine Inc.
• Jesse Michael Tichenor, LMFT
• Makaiya Tillman
• Tim J Patel DDS Inc
• Christian Ray Timbol, MD
• Laura A. Timmerman, M.D.

• Assisted Living Facility in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.