TRI VALLEY GASTROENTEROLOGY MEDICAL CENTER, INC. (NPI# 1891706669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891706669 |
| Entity Type | Organization |
| Organization Name | TRI VALLEY GASTROENTEROLOGY MEDICAL CENTER, INC. |
| Other Organization Name | TRI VALLEY GASTROENTEROLOGY |
| Practice Address |
5801 Norris Canyon Rd Ste. 230 San Ramon CA 94583 |
| Practice Telephone | 9252759966 |
| Practice Fax Number | 9252759823 |
| Mailing Telephone | 9252759966 |
| Mailing Fax Number | 9252759823 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2018-06-21 |
| Authorized Official Name | DAVID T. WONG (PRESIDENT) |
| Authorized Official Telephone | 9252759966 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BC/BS | ZZZ57371Z | 01 |
| Other Name | Type Code |
|---|---|
| Tri Valley Gastroenterology | Other Name - Individual/Organization |
| Street Address |
5801 NORRIS CANYON RD STE. 230 |
| City | SAN RAMON |
| State | CA |
| Zip Code | 94583 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144225343 | Todd Dana Severin | Ophthalmology | 5801 Norris Canyon Rd, Ste 200, San Ramon, CA 94583-5406 | 2005-06-15 |
| 1700210242 | Nahid Abdali | Optometrist | 5801 Norris Canyon Rd, Suite #200, San Ramon, CA 94583-5440 | 2013-08-31 |
| 1740508506 | Aimee Rosann-peck Edell | Ophthalmology | 5801 Norris Canyon Rd, Suite 200, San Ramon, CA 94583-5440 | 2010-05-04 |
| 1407188006 | Sonya N. Taravella | Physician Assistant | 5801 Norris Canyon Rd, 210, San Ramon, CA 94583-5440 | 2010-02-05 |
| 1386849776 | Patricia Christine Gonzalez | Nurse Anesthetist, Certified Registered | 5801 Norris Canyon Rd, Ste 230, San Ramon, CA 94583-5440 | 2007-06-18 |
| 1699814442 | Flora Hsieh Ting | Nurse Practitioner | 5801 Norris Canyon Rd, San Ramon, CA 94583-5440 | 2007-02-06 |
| 1780770305 | James Creston | Specialist | 5801 Norris Canyon Rd, Ste 200, San Ramon, CA 94583-5440 | 2006-10-04 |
| 1215948161 | Salim M. Shelby | Internal Medicine | 5801 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | 2006-08-10 |
| 1184635955 | San Ramon Endoscopy Center Inc | Internal Medicine | 5801 Norris Canyon Rd, Suite 220, San Ramon, CA 94583-5440 | 2006-08-10 |
| 1386654200 | David T Wong | Internal Medicine | 5801 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | 2006-08-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295375475 | Angel Beatrice Mckneely | Behavior Technician | 3150 Crow Canyon Place, Suite 110, San Ramon, CA 94583 | 2020-01-15 |
| 1205302247 | Asma Parisa Rezaye | Behavior Technician | 4708 Norris Canyon Rd, Unit 201, San Ramon, CA 94583 | 2018-10-17 |
| 1679055461 | Mary Martineau | Speech-Language Pathologist | 210 Porter Dr Ste 120, San Ramon, CA 94583 | 2018-08-29 |
| 1336631332 | Alison Jean Barnes | Behavior Technician | Goals for Autism, 1 Crow Canyon Court, San Ramon, CA 94583 | 2018-06-05 |
| 1730671975 | Michael Federico | Pharmacist | 2735 Ascot Drive, San Ramon, CA 94583 | 2018-06-04 |
| 1508384843 | Donor Network West | Organ Procurement Organization | 12667 Alcosta Blvd., Suite 500, San Ramon, CA 94583 | 2017-09-07 |
| 1265950141 | Danielle Lustig Fitch | Marriage & Family Therapist | 3180 Crown Canyon Pl. Ste 140, San Ramon, CA 94583 | 2017-08-31 |
| 1386166205 | Park Place Ambulatory Surgery Center | Orthopaedic Surgery | 100 Park Place, Suite 100, San Ramon, CA 94583 | 2017-07-12 |
| 1952822991 | Virginia Rutledge Mosby | Marriage & Family Therapist | 3180 Crow Canyon Place #140, San Ramon, CA 94583 | 2017-06-29 |
| 1437684784 | Nakhla Dental Group | Dentist | Crow Canyon Dental, 2821 Crow Canyon Road #200, San Ramon, CA 94583 | 2017-04-25 |
| Find all providers in zip 94583 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265681134 | Amee Saurin Mapara-shah | Internal Medicine | 5132 Fioli Loop, San Ramon, CA 94582-5976 | 2008-09-15 |
| 1770666448 | Philip C Yee | Internal Medicine | 5401 Norris Canyon Rd Ste 208, San Ramon, CA 94583-5408 | 2006-10-24 |
| 1285726646 | Bijan Nejadnik | Internal Medicine | 1295 Ustilago Dr, San Ramon, CA 94582-3071 | 2006-09-29 |
| 1457550972 | Philip Yee, Md, Inc. | Internal Medicine | 5401 Norris Canyon Rd, Suite 208, San Ramon, CA 94583-5409 | 2007-07-14 |
| 1538367818 | Adult & Pediatric Gastroenterology Medical Center | Internal Medicine | 111 Deerwood Rd, Suite 168, San Ramon, CA 94583-4409 | 2007-07-06 |
| 1215948161 | Salim M. Shelby | Internal Medicine | 5801 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | 2006-08-10 |
| 1184635955 | San Ramon Endoscopy Center Inc | Internal Medicine | 5801 Norris Canyon Rd, Suite 220, San Ramon, CA 94583-5440 | 2006-08-10 |
| 1386654200 | David T Wong | Internal Medicine | 5801 Norris Canyon Rd, Suite 230, San Ramon, CA 94583-5440 | 2006-08-09 |
| 1679504328 | F. Anderson Rowe, M.d. Inc. | Internal Medicine | 5601 Norris Canyon Rd, Suite # 240, San Ramon, CA 94583-5407 | 2006-07-05 |
| 1215927405 | Frederick Anderson Rowe IIi | Internal Medicine | 5601 Norris Canyon Rd, Suite # 240, San Ramon, CA 94583-5407 | 2005-10-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.