TRI-VALLEY PEDIATRICS, INC.
NPI 1881778546
Pediatrics in Pleasanton, CA

Active since October 25, 2006CLIA 05D0600996 · Waiver
5565 W LAS POSITAS BLVD, SUITE 240, PLEASANTON, CA 94588(925) 460-8444 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2020, Jun 21, 2018 (2 updates tracked since 2018).

About Tri-valley Pediatrics, Inc. NPPES

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

TRI-VALLEY PEDIATRICS, INC. (NPI 1881778546) is a healthcare organization registered as a pediatrics in Pleasanton, California and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 1, 2027 and lists Lionel Herrera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881778546
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameTRI-VALLEY PEDIATRICS, INC.
Location Address5565 W LAS POSITAS BLVD, SUITE 240Pleasanton, CA 94588-4001
Mailing AddressPo Box 1319Salida, CA 95368-1319
Organization SubpartNo
Authorized OfficialLionel HerreraCeo · (925) 460-8444
Enumeration DateOctober 25, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPI 1881778546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · A62014
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
5565 W LAS POSITAS BLVD, Pleasanton, CA 94588

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

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 05D0600996

Tri-Valley Pediatric Medical Group Inc · Pleasanton, CA
Active · expires Mar 1, 2027
CLIA Number05D0600996
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2025
Certificate Expiration DateMarch 1, 2027
Laboratory DirectorSam A. Pejham MD
Laboratory Phone(925) 460-8444
Laboratory LocationTri-Valley Pediatric Medical Group Inc5565 West Las Positas Boulevard, Suite #240, Pleasanton, CA 94588
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
5565 W LAS POSITAS BLVD, SUITE 320
PLEASANTON, CA 94588
Thoracic Surgery (Cardiothoracic Vascular Surgery)
5565 W LAS POSITAS BLVD, SUITE 340
PLEASANTON, CA 94588
Specialist
5565 W LAS POSITAS BLVD, STE 310
PLEASANTON, CA 94588
Podiatrist
5565 W LAS POSITAS BLVD, 130
PLEASANTON, CA 94588
Pediatrics
5565 W LAS POSITAS BLVD, SUITE 240
PLEASANTON, CA 94588
Pediatrics
5565 W LAS POSITAS BLVD, SUITE 240
PLEASANTON, CA 94588
Obstetrics & Gynecology
5565 W LAS POSITAS BLVD, STE 200
PLEASANTON, CA 94588
Internal Medicine (Cardiovascular Disease)
5565 W LAS POSITAS BLVD, SUITE 210
PLEASANTON, CA 94588

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 Pediatrics, Inc.'s NPI number?

The NPI number for Tri-Valley Pediatrics, Inc. is 1881778546. It was assigned to this organization in the NPPES registry on October 25, 2006.

Where is Tri-Valley Pediatrics, Inc. located?

Tri-Valley Pediatrics, Inc. is located at 5565 W Las Positas Blvd Suite 240, Pleasanton, CA 94588. The listed phone number is (925) 460-8444.

What is Tri-Valley Pediatrics, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Tri-Valley Pediatrics, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0600996) is associated with this NPI, valid through March 1, 2027. 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 Pediatrics, Inc. was last updated on August 22, 2020. 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.