Senior Support Program Of The Tri Valley
Community/Behavioral Health in Pleasanton, CA. Organization (NPI-2).
NPI number1730367178
StatusActive
Last updated in NPPESFeb 7, 2008
Details
- NPI
- 1730367178
- Entity type
- Organization (NPI-2)
- Legal business name
- Senior Support Program Of The Tri Valley
- Organization subpart
- No
- Enumeration date
- Feb 7, 2008
- Last updated
- Feb 7, 2008
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 2758503 | CA | Yes |
| 251B00000X | Case Management | 2758503 | CA |
Practice location
5353 Sunol BlvdPleasanton, CA 94566-7607
Phone 925-931-5379
Mailing address
5353 Sunol BlvdPleasanton, CA 94566-7607
Phone 925-931-5379
Authorized official
Marlene J Petersen
Executive Director
9259315378
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