TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR
NPI 1851617278
Surgery - Plastic and Reconstructive Surgery in Dublin, CA

Active since April 09, 2010
11820 DUBLIN BLVD, DUBLIN, CA 94568(925) 875-0700(925) 875-0576 Get Directions Write a Review

NPPES record last updated: February 8, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Tri Valley Plastic Surgeryprofessional Medical Corpor NPPES

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

TRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR (NPI 1851617278) is a healthcare organization registered as a plastic and reconstructive surgery in Dublin, California and active in the NPI registry since April 2010. The organization lists Beau Ascarrunz, Practice Administrator, as its authorized official.

NPPES Registry Identity

NPI1851617278
Entity TypeOrganization
Primary Taxonomy2086S0122X
Legal Business NameTRI VALLEY PLASTIC SURGERYPROFESSIONAL MEDICAL CORPOR
Location Address11820 DUBLIN BLVDDublin, CA 94568-2830
Mailing Address11820 Dublin BlvdDublin, CA 94568-2830 · (925) 875-0700 · Fax (925) 875-0576
Fax(925) 875-0576
Organization SubpartNo
Authorized OfficialBeau AscarrunzPractice Administrator · (925) 875-0700
Enumeration DateApril 9, 2010
Last NPPES UpdateFebruary 8, 2018
✔ NPI 1851617278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
Definition
A surgeon who specializes in plastic and reconstructive surgery.
11820 DUBLIN BLVD, Dublin, CA 94568

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri Valley Plastic Surgeryprofessional Medical Corpor is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Tri Valley Plastic Surgeryprofessional Medical Corpor, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Plastic and Reconstructive Surgery
NPI 1194898023
7373 WEST LN
Stockton, CA 95210
(209) 476-3878
✔ PECOS41 mi
Plastic and Reconstructive Surgery
NPI 1124218722
13712 NE 10TH AVE
Vancouver, WA 98685
(360) 823-0860
✔ PECOS✔ Accepts Medicare555 mi
Plastic and Reconstructive Surgery
NPI 1346225992
925 EAST MCDOWELL RD.
Phoenix, AZ 85006
(602) 521-3700
✔ PECOS✔ Accepts Medicare628 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Plastic Surgeryprofessional Medical Corpor's NPI number?

The NPI number for Tri Valley Plastic Surgeryprofessional Medical Corpor is 1851617278. It was assigned to this organization in the NPPES registry on April 9, 2010.

Where is Tri Valley Plastic Surgeryprofessional Medical Corpor located?

Tri Valley Plastic Surgeryprofessional Medical Corpor is located at 11820 Dublin Blvd, Dublin, CA 94568. The listed phone number is (925) 875-0700.

What is Tri Valley Plastic Surgeryprofessional Medical Corpor's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Tri Valley Plastic Surgeryprofessional Medical Corpor enrolled in Medicare?

Yes. Tri Valley Plastic Surgeryprofessional Medical Corpor is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri Valley Plastic Surgeryprofessional Medical Corpor?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Plastic and Reconstructive Surgery, reassign their Medicare billing to Tri Valley Plastic Surgeryprofessional Medical Corpor. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri Valley Plastic Surgeryprofessional Medical Corpor was last updated on February 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.