TRI-VALLEY AMBULATORY SURGERY CENTER LLC NPI 1023692969

NPI Information

  • NPI: 1023692969
  • Provider Name: TRI-VALLEY AMBULATORY SURGERY CENTER, LLC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Address: 1133 E STANLEY BLVD STE 251
    LIVERMORE, CA
    ZIP 94550
  • Phone: (925) 847-3000

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NPI Details

TRI-VALLEY AMBULATORY SURGERY CENTER, LLC is an ambulatory surgical clinic center in Livermore, CA. TRI-VALLEY AMBULATORY SURGERY CENTER, LLC NPI is 1023692969. The provider is registered as an organization entity type.

The provider's business location address is:

1133 E STANLEY BLVD STE 251
LIVERMORE, CA
ZIP 94550-200
Phone: (925) 847-3000

The provider's authorized official is Ryann Degraff .
The authorized official title is Vice President Of Operations and has the following contact phone number (925) 200-2673.

The enumeration date for this NPI number is 5/6/2021 and was last updated on 5/13/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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