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TRI VALLEY CARDIOLOGY MEDICAL OFFICE NPI 1417016445


NPI Information

NPI: 1417016445
Provider Name: TRI VALLEY CARDIOLOGY MEDICAL OFFICE
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
5565 W LAS POSITAS BLVD
#300
PLEASANTON, CA
ZIP 94588
Phone: (925) 734-0712
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TRI VALLEY CARDIOLOGY MEDICAL OFFICE is a cardiovascular disease internal medicine in Pleasanton, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. TRI VALLEY CARDIOLOGY MEDICAL OFFICE NPI is 1417016445. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5565 W LAS POSITAS BLVD
#300
PLEASANTON, CA
ZIP 94588
Phone: (925) 734-0712
Fax: (925) 734-9816

The provider's authorized official is Morgan Lin .
The authorized official title is President and has the following contact phone number (925) 734-0712.

The enumeration date for this NPI number is 12/6/2006 and was last updated on 12/4/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1110245859OTHERRR MEDICARE
2OOA52480MEDICAIDCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.