TRI VALLEY SURGERY CENTER
NPI 1306374301
Clinic/Center - Ambulatory Surgical in Dublin, CA

Active since June 02, 2017CLIA 05D2144089 · Waiver
11860 DUBLIN BLVD, DUBLIN, CA 94568(999) 999-9999 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tri Valley Surgery Center NPPES

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

TRI VALLEY SURGERY CENTER (NPI 1306374301) is a healthcare organization registered as an ambulatory surgical in Dublin, California and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through February 9, 2028 and lists John Safanda, Secretary, as its authorized official.

NPPES Registry Identity

NPI1306374301
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTRI VALLEY SURGERY CENTER
Location Address11860 DUBLIN BLVDDublin, CA 94568-2828
Mailing Address11860 Dublin BlvdDublin, CA 94568-2828
Organization SubpartNo
Authorized OfficialJohn SafandaSecretary · (209) 207-0555
Enumeration DateJune 2, 2017
NPI 1306374301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
11860 DUBLIN BLVD, Dublin, CA 94568

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2144089

Tri Valley Surgery Center, LLC · Dublin, CA
Active · expires Feb 9, 2028
CLIA Number05D2144089
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 10, 2026
Certificate Expiration DateFebruary 9, 2028
Laboratory DirectorSteven H. Williams, MD
Laboratory Phone(925) 999-4049
Laboratory LocationTri Valley Surgery Center, LLC11860 Dublin Blvd., Dublin, CA 94568
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Ambulatory Surgical)
11860 DUBLIN BLVD
DUBLIN, CA 94568

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 Surgery Center's NPI number?

The NPI number for Tri Valley Surgery Center is 1306374301. It was assigned to this organization in the NPPES registry on June 2, 2017.

Where is Tri Valley Surgery Center located?

Tri Valley Surgery Center is located at 11860 Dublin Blvd, Dublin, CA 94568. The listed phone number is (999) 999-9999.

What is Tri Valley Surgery Center's specialty?

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

Does Tri Valley Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2144089) is associated with this NPI, valid through February 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tri Valley Surgery Center was last updated on June 2, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.