Tri-valley Orthopedic And Sports Medical Group Inc - Medicare in Pleasanton, CA

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Tri-valley Orthopedic And Sports Medical Group Inc is a medicare enrolled "Orthopaedic Surgery" provider in Pleasanton, California. Their current practice location is 4626 Willow Rd, Suite 200, Pleasanton, California. You can reach out to their office (for appointments etc.) via phone at (925) 463-0470.

Tri-valley Orthopedic And Sports Medical Group Inc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tri-valley Orthopedic And Sports Medical Group Inc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1184808156.

Contact Information

Tri-valley Orthopedic And Sports Medical Group Inc
4626 Willow Rd, Suite 200,
Pleasanton, CA 94588-2710
(925) 463-0470
(925) 463-0473

Map and Direction




Healthcare Provider's Profile

Full NameTri-valley Orthopedic And Sports Medical Group Inc
TypeFacility
SpecialityOrthopaedic Surgery
Location4626 Willow Rd, Pleasanton, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184808156
  • Provider Enumeration Date: 12/26/2007
  • Last Update Date: 11/11/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3577461151
  • Enrollment ID: O20031219000786

Medical Identifiers

Medical identifiers for Tri-valley Orthopedic And Sports Medical Group Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184808156NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic (* (Not Available))Secondary
225XH1200XOccupational Therapist - Hand (* (Not Available))Secondary
207X00000XOrthopaedic Surgery (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tri-valley Orthopedic And Sports Medical Group Inc acts as a billing entity for following providers:
Provider NameKambiz Behzadi
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1265437396
PECOS PAC ID: 2466364955
Enrollment ID: I20031103000659
Provider NameAlexandra M Burgar
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1801891932
PECOS PAC ID: 6204897317
Enrollment ID: I20041021001121
Provider NameRoger D Dainer
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1427053560
PECOS PAC ID: 2062448350
Enrollment ID: I20050728001222
Provider NameJeffrey W Duncan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1396838165
PECOS PAC ID: 6507960184
Enrollment ID: I20070409000664
Provider NameRicardo W Contreras
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1679504922
PECOS PAC ID: 1456458447
Enrollment ID: I20070529000131
Provider NameVeronica R Barroga
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1578681052
PECOS PAC ID: 0941301899
Enrollment ID: I20070723000658
Provider NameIan A Stine
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1154544468
PECOS PAC ID: 7416043484
Enrollment ID: I20071022000866
Provider NameShannon Mark Rush
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1083788681
PECOS PAC ID: 0547346355
Enrollment ID: I20080319000351
Provider NameDavid J Jupina
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1033114178
PECOS PAC ID: 9234165523
Enrollment ID: I20080529000684
Provider NameGregory Horner
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1295730331
PECOS PAC ID: 3779519061
Enrollment ID: I20080529000729
Provider NameDanielle G Muller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902831720
PECOS PAC ID: 8123182698
Enrollment ID: I20090128000098
Provider NameSteven S Liu
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1952467698
PECOS PAC ID: 2163555111
Enrollment ID: I20100728000751
Provider NameMelanie M Wong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992891675
PECOS PAC ID: 7012193337
Enrollment ID: I20110520000102
Provider NameJulie Ann Long
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1982608733
PECOS PAC ID: 7517938194
Enrollment ID: I20130613000555
Provider NameJennifer R Miller
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1871903286
PECOS PAC ID: 0840416269
Enrollment ID: I20140721001769
Provider NameChandni Suba
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992943906
PECOS PAC ID: 2062562416
Enrollment ID: I20141219000389
Provider NameEthelind C Cahigas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336388644
PECOS PAC ID: 0749441269
Enrollment ID: I20160921000586
Provider NameMaren Bohne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851835235
PECOS PAC ID: 3678855145
Enrollment ID: I20170117002147
Provider NameJoshua D Lem
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356709745
PECOS PAC ID: 5890077846
Enrollment ID: I20170126001913
Provider NameMariko E Blumenfeld
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750820965
PECOS PAC ID: 2769768449
Enrollment ID: I20170412000503
Provider NameAnthony Joseph Porter
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1679869515
PECOS PAC ID: 8123326659
Enrollment ID: I20170703000220
Provider NameDishy Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689177198
PECOS PAC ID: 4587926548
Enrollment ID: I20180403000778
Provider NameAnita T Galhotra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1093219321
PECOS PAC ID: 0446513543
Enrollment ID: I20180423002241
Provider NameMichelle Chu
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427549344
PECOS PAC ID: 4688924939
Enrollment ID: I20180906002167
Provider NamePauline Nguyen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1649750696
PECOS PAC ID: 3678825833
Enrollment ID: I20181016003208
Provider NameSaritha Byrapuneni
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710461512
PECOS PAC ID: 4385973601
Enrollment ID: I20190912000890
Provider NameSmita Jangid
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1083069371
PECOS PAC ID: 2668764796
Enrollment ID: I20200422003011
Provider NameJeffrey Liang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1215534052
PECOS PAC ID: 8426478355
Enrollment ID: I20201015000764
Provider NameWalter Allen Payne
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1447815832
PECOS PAC ID: 0648651349
Enrollment ID: I20220712003978
Provider NameKatie Michaela O'donnell
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346971637
PECOS PAC ID: 7113308644
Enrollment ID: I20220714004014

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tri-valley Orthopedic And Sports Medical Group Inc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tri-valley Orthopedic And Sports Medical Group Inc
4626 Willow Rd, Suite 200,
Pleasanton, CA 94588-2710

Ph: (925) 469-0939		Tri-valley Orthopedic And Sports Medical Group Inc
4626 Willow Rd, Suite 200,
Pleasanton, CA 94588-2710

Ph: (925) 463-0470

Reviews and Comments



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