TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR – NPI #1851617278
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR is a surgeon located in DUBLIN, CA. NPPES has assigned the NPI number 1851617278 to TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR on April 09, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 8 years ago on Feb 08, 2018. 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 PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR below.

NPI Profile for
TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR

NPI Number
1851617278
Enumeration Date

(more than 16 years 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 PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR
Primary location
11820 DUBLIN BLVD
DUBLIN, CA 94568-2830
Phone: (925) 875-0700 Fax: (925) 875-0576
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BEAU ASCARRUNZ
PRACTICE ADMINISTRATOR
Phone: (925) 875-0700
Updated
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)

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.