Tri-Valley Orthopedic Sports and Medical Group Inc

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

TRI-VALLEY ORTHOPEDIC SPORTS AND MEDICAL GROUP INC

Practice address

87 Fenton St
Suite 105
Livermore, CA 94550-4100

Phone

(925) 373-9182

Fax

(925) 373-2493

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Deborah Rhoton

Title

Billing Department Manager

Phone

(925) 469-0939

Specialties & licenses 2

Addresses

Other names 1

• Tri-Valley Orthopedic Specialists Inc Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Tri-Valley Orthopedic and Sports Medical Group Inc

  • Orthopaedic Surgery Physician
  • Pleasanton, CA
  • NPI 1184808156

  O20031219000786

  Same enrollment
• Tri-Valley Orthopedic and Sports Medical Group Inc

  • Orthopaedic Surgery Physician
  • Tracy, CA
  • NPI 1609987254

  O20031219000786

  Same enrollment
• Tri-Valley Orthopedic and Sports Medical Group Inc

  • Orthopaedic Surgery Physician
  • San Ramon, CA
  • NPI 1801883731

  O20031219000786

  Same enrollment
• Tri-Valley Orthopedic Specialists, Inc

  • Orthopaedic Surgery Physician
  • Pleasanton, CA
  • NPI 1043321680

  O20031219000786

  Same enrollment

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1467563007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD",
            "address_2": "SUITE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882710",
            "telephone_number": "925-469-0939",
            "fax_number": "925-469-0165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 FENTON ST",
            "address_2": "SUITE 105",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504100",
            "telephone_number": "925-373-9182",
            "fax_number": "925-373-2493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-VALLEY ORTHOPEDIC SPORTS AND MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "RHOTON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "BILLING DEPARTMENT MANAGER",
        "authorized_official_telephone_number": "925-469-0939"
    },
    "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 Specialists Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Brittany Trubl, RN
• Joy Sumaljag True, PHYSICAL THERAPIST

• All providers in Livermore, CA
• Orthopaedic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2010; 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.

Verify at the official NPI Registry.