Active NPI
Tri Valley Cardiology Medical Office
- Cardiovascular Disease Physician
- Pleasanton, CA
National Provider Identifier
1417016445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- TRI VALLEY CARDIOLOGY MEDICAL OFFICE
- Practice address
- 5565 W Las Positas Blvd
#300
Pleasanton, CA 94588 - Phone
- (925) 734-0712
- Fax
- (925) 734-9816
- NPI assigned
- Dec 6, 2006
- Last updated
- Dec 4, 2018
- 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
- Dr. Morgan Lin, MD
- Title
- President
- Phone
- (925) 734-0712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
5565 W Las Positas Blvd
#300
Pleasanton, CA 94588
Mailing address
5565 W Las Positas Blvd
#300
Pleasanton, CA 94588
Phone (925) 734-0712
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110245859 | Other | RR MEDICARE | |
| OOA52480 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
1789 Barcelona St
Livermore, CA 94550
5565 W Las Positas Blvd
Ste 300
Pleasanton, CA 94588
Phone (925) 734-0712
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543881600000",
"number": "1417016445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5565 W LAS POSITAS BLVD",
"address_2": "#300",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94588",
"telephone_number": "925-734-0712",
"fax_number": "925-734-9816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5565 W LAS POSITAS BLVD",
"address_2": "#300",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "94588",
"telephone_number": "925-734-0712",
"fax_number": "925-734-9816"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TRI VALLEY CARDIOLOGY MEDICAL OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2018-12-04",
"status": "A",
"authorized_official_last_name": "LIN",
"authorized_official_first_name": "MORGAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-734-0712",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110245859",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "OOA52480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
- Vivienne Tran, PHARMD
- Travel Well Corporation
- Bradley Tremayne, BCBA
- Gina Marie Trentacosti, OD
- Janae Trevillion
- Tri-Valley Ecg Medical Group Inc
- Tri-Valley Orthopedic and Sports Medical Group Inc (Tri-Valley Orthopedic Specialists Inc)
- Tri-Valley Orthopedic Specialists, Inc
- Tri-Valley Pediatrics, Inc.
- Tri-Valley Pharmacy Corporation (Stoneridge Professional Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.