Active NPI
Tri Valley Care LLC
- Urgent Care Clinic/Center
- Tracy, CA
National Provider Identifier
1235946336
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- TRI VALLEY CARE LLC
- Practice address
- 2471 North Naglee Road
Suite 100 #1037
Tracy, CA 95304 - Phone
- (510) 755-3004
- NPI assigned
- Dec 12, 2024
- 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
- Anthony Ogbodo
- Title
- President
- Phone
- (510) 755-3004
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
2471 North Naglee Road
Suite 100 #1037
Tracy, CA 95304
Mailing address
2471 North Naglee Road
Suite 100 #1037
Tracy, CA 95304
National Provider Directory
National Provider DirectoryLocations
2471 Naglee Rd
Ste 100
Tracy, CA 95304
Phone (209) 509-4116
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Tracy, CA
- NPI 1720779184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733961600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733961600000",
"number": "1235946336",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2471 NORTH NAGLEE ROAD",
"address_2": "SUITE 100 #1037",
"city": "TRACY",
"state": "CA",
"postal_code": "95304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2471 NORTH NAGLEE ROAD",
"address_2": "SUITE 100 #1037",
"city": "TRACY",
"state": "CA",
"postal_code": "95304",
"telephone_number": "510-755-3004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI VALLEY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-12",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A",
"authorized_official_last_name": "OGBODO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "510-755-3004"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tracy, CA
- Diana Tran, PA-C
- Vincent Tran, PHARM.D.
- Flora Trang, D.D.S.
- Transforming Minds Mental Health Services PC
- Alyssa Trent
- Tri Valley Care Telehealth & Telemedicine Inc
- Tri-Valley Orthopedic and Sports Medical Group Inc
- Catherine Ngoc Ann Trinh, PHARMD
- Luis Javier Tristan Jr
- Vanessa Trogdon, CERTIFIED ORTHOTIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.