Tir Valley Plastic Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

TIR VALLEY PLASTIC SURGERY CENTER, LLC

Practice address

11860 Dublin Blvd
Dublin, CA 94568-2828

Phone

(925) 999-4049

Fax

(925) 999-4256

NPI assigned

Sep 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sarah Marchio

Title

Surgery Center Manager

Phone

(925) 999-4049

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Steven Williams, MD

  • Plastic Surgery Physician
  • Stockton, CA
  • NPI 1194898023
  NPD (past)
• Shreyas Girish Makwana, M.D.

  • Plastic Surgery Physician
  • Alpharetta, GA
  • NPI 1497040265
  NPD (past)
• Philip Joseph Wasicek, MD

  • Student in an Organized Health Care Education/Training Program
  • Pittsburgh, PA
  • NPI 1417390790
  NPD (past)

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

{
    "created_epoch": "1505347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1679092209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11860 DUBLIN BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682828",
            "telephone_number": "925-999-4049",
            "fax_number": "925-999-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11860 DUBLIN BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682828",
            "telephone_number": "925-999-4049",
            "fax_number": "925-999-4256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIR VALLEY PLASTIC SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARCHIO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "SURGERY CENTER MANAGER",
        "authorized_official_telephone_number": "925-999-4049",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Xin Yuan Tian, OD
• Sharon D Tiernan-Lang, PA-C
• Time 2 Grow ABA
• Jamie Tin
• Scott Shen-Ta Ting, DDS
• Seon K Tjoe, M.D.
• Hakim Tokhi
• Tong Ren Acupuncture Clinic
• Hetty Tong
• Anne Torok

• Ambulatory Surgical Clinic/Center in Dublin, CA
• Providers in Dublin, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.