TRI VALLEY CARE LLC – NPI #1235946336
Clinic/Center

TRI VALLEY CARE LLC is an AHC clinic located in TRACY, CA. NPPES has assigned the NPI number 1235946336 to TRI VALLEY CARE LLC on December 12, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRI VALLEY CARE LLC below.

NPI Profile for
TRI VALLEY CARE LLC

NPI Number
1235946336
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRI VALLEY CARE LLC
Primary location
2471 NORTH NAGLEE ROAD
SUITE 100 #1037
TRACY, CA 95304
Phone: (510) 755-3004 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANTHONY OGBODO
PRESIDENT
Phone: (510) 755-3004
Updated
Certification Date
Dec 12, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
261QP2300X
- Clinic/Center / Primary Care
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.