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TRI-VALLEY AMBULATORY SURGERY CENTER, LLC
NPI 1023692969
Clinic/Center - Ambulatory Surgical in Livermore, CA

Active since May 06, 2021
1133 E STANLEY BLVD STE 251, LIVERMORE, CA 94550(925) 847-3000 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2021, May 6, 2021 (2 updates tracked since 2021).

About Tri-valley Ambulatory Surgery Center, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-VALLEY AMBULATORY SURGERY CENTER, LLC (NPI 1023692969) is a healthcare organization registered as an ambulatory surgical in Livermore, California and active in the NPI registry since May 2021. The organization lists Ryann Degraff, Vice President Of Operations, as its authorized official.

NPPES Registry Identity

NPI1023692969
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTRI-VALLEY AMBULATORY SURGERY CENTER, LLC
Location Address1133 E STANLEY BLVD STE 251Livermore, CA 94550-4200
Mailing Address1133 E Stanley Blvd Ste 251Livermore, CA 94550-4200 · (925) 847-3000
Phone(925) 847-3000
Organization SubpartNo
Authorized OfficialRyann DegraffVice President Of Operations · (925) 200-2673
Enumeration DateMay 6, 2021
Last NPPES UpdateMay 13, 20212 updates tracked since enumeration
NPPES CertifiedMay 13, 2021
✔ NPI 1023692969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1133 E STANLEY BLVD STE 251, Livermore, CA 94550
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tri-Valley Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Tri-Valley Ambulatory Surgery Center, LLC is 1023692969. It was assigned to this organization in the NPPES registry on May 6, 2021.

Where is Tri-Valley Ambulatory Surgery Center, LLC located?

Tri-Valley Ambulatory Surgery Center, LLC is located at 1133 E Stanley Blvd Ste 251, Livermore, CA 94550. The listed phone number is (925) 847-3000.

What is Tri-Valley Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Tri-Valley Ambulatory Surgery Center, LLC was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.