| Tri-valley Physicians | |
|
680 Mowry Ave Fremont CA 94536-4113 | |
| (510) 598-4921 | |
| (510) 973-2393 |
| Full Name | Tri-valley Physicians |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 680 Mowry Ave, Fremont, California |
| Authorized Official Name and Position | Japsharan Gill (PRESIDENT) |
| Authorized Official Contact | 9254480881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-valley Physicians Po Box 2688 Dublin CA 94568-0268 | Tri-valley Physicians 680 Mowry Ave Fremont CA 94536-4113 Ph: (510) 598-4921 |
| NPI Number | 1255204764 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 10/07/2025 |
| Certification Date | 10/07/2025 |
| Medicare PECOS PAC ID | 4284125972 |
|---|---|
| Medicare Enrollment ID | O20251111000933 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255204764 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Primary |
| Provider Name | Shabeg Gondara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912331489 PECOS PAC ID: 2163727744 Enrollment ID: I20160218001798 |
| Provider Name | Japsharan Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1386060523 PECOS PAC ID: 3476859836 Enrollment ID: I20160310001188 |
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