Tri-Valley Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A61352 Issued in CA

Legal business name

TRI-VALLEY FAMILY MEDICINE

Practice address

1133 E Stanley Blvd
Suite 201
Livermore, CA 94550-4200

Phone

(925) 443-9000

Fax

(925) 443-9009

NPI assigned

Oct 28, 2008

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lorena H Tan, M.D.NPI 1417957697

Title

Owner

Phone

(925) 443-9000

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lorena H Tan, MD

  • Family Medicine Physician
  • Livermore, CA
  • NPI 1417957697
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1245483759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 201",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-443-9000",
            "fax_number": "925-443-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E STANLEY BLVD",
            "address_2": "SUITE 201",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504200",
            "telephone_number": "925-443-9000",
            "fax_number": "925-443-9009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-443-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A61352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A613520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tri Valley Haven for Women
• Tri Valley Hospice, LLC (Hospice Alliance)
• Tri Valley Optometry
• Tri-Valley Ambulatory Surgery Center, LLC
• Tri-Valley Counseling Center
• Tri-Valley Medical Associates, Inc.
• Tri-Valley Orthopedic Sports and Medical Group Inc (Tri-Valley Orthopedic Specialists Inc)
• Tri-Valleyob-GYN Medical Group Inc
• Trivalley Highline Foot and Ankle Specialists, PC
• Trivalley Vasectomy Inc.

• Family Medicine Physician in Livermore, CA
• Providers in Livermore, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.