Provider Demographics
NPI:1588551808
Name:TRI VALLEY CARE TELEHEALTH & TELEMEDICINE INC
Entity type:Organization
Organization Name:TRI VALLEY CARE TELEHEALTH & TELEMEDICINE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:OGBODO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-755-3004
Mailing Address - Street 1:2471 NAGLEE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95304-7343
Mailing Address - Country:US
Mailing Address - Phone:209-509-4116
Mailing Address - Fax:209-636-6213
Practice Address - Street 1:2471 NAGLEE RD STE 100
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95304-7343
Practice Address - Country:US
Practice Address - Phone:209-509-4116
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty