Tri-Valley Medical Office Market

Medical Office Space in Pleasanton.

Pleasanton is home to Stanford Health Care Tri-Valley, whose hospital expansion and Hacienda outpatient campus anchor the Tri-Valley medical office market.

Pleasanton Healthcare Real Estate Market

Pleasanton, with about 76,100 residents (California Department of Finance, 2026), is the medical center of the Tri-Valley. Stanford Health Care Tri-Valley, known as ValleyCare until 2022, runs the city's hospital at 5555 West Las Positas Boulevard, one of only two emergency departments in the Tri-Valley. In May 2026 it broke ground on a $200 million, 66,000-square-foot East Wing that more than doubles emergency department capacity, with phased openings from 2029. Stanford also bought a five-building, 197,200-square-foot office complex in Hacienda in 2022, which now houses a Stanford Medicine Partners clinic and a family medicine residency, with an ambulatory surgery center planned for 2027. Kaiser Permanente runs outpatient medical offices on Stoneridge Drive. Pleasanton sits where I-580 and I-680 meet, so practices here can draw patients from across Dublin, Livermore, San Ramon and Danville.

Profile updated

76,149
Population (2026)
Source
Stanford Health Care Tri-Valley
Hospital
W. Las Positas, Hacienda
Main Clusters
Hospital East Wing (2029)
Under Construction

Where Medical Offices Cluster in Pleasanton

  • West Las Positas Blvd hospital campus

    Stanford Health Care Tri-Valley's hospital (5555 W. Las Positas) and adjacent medical office buildings, including 5565 and 5725 W. Las Positas.

  • Hacienda

    Stanford's 197,200 SF, five-building outpatient campus (bought in 2022), with a primary care clinic and residency; an ambulatory surgery center is planned for 2027.

  • Stoneridge Drive

    Kaiser Permanente's Pleasanton Medical Offices at 7601 Stoneridge Dr.

Major Health Systems

  • • Stanford Health Care Tri-Valley
  • • Kaiser Permanente Pleasanton Medical Offices
Available Properties

Current Listings in Pleasanton

As of October 8, 2026

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No active listings in Pleasanton at this time.

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Pleasanton Case Studies

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Frequently Asked Questions

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? Where are medical offices concentrated in Pleasanton?

Pleasanton has three main medical office areas. West Las Positas Boulevard is home to Stanford Health Care Tri-Valley's hospital and its adjacent medical office buildings. Hacienda is where Stanford bought a 197,200-square-foot, five-building office complex in 2022 that now houses a primary care clinic and residency program. Stoneridge Drive is home to Kaiser Permanente's Pleasanton Medical Offices.

? What is happening at Stanford Health Care Tri-Valley?

Stanford Health Care Tri-Valley, called ValleyCare until 2022, broke ground on May 14, 2026 on a $200 million, 66,000-square-foot East Wing that more than doubles emergency department capacity, with phased openings expected from 2029. Emergency visits there grew almost 30% between 2013 and 2023. Stanford also plans an ambulatory surgery center at its Hacienda campus, targeted for summer 2027.

? Why do practices choose Pleasanton in the Tri-Valley?

Pleasanton is where the Tri-Valley's hospital care is concentrated: Stanford Health Care Tri-Valley runs one of the region's two emergency departments here, and Kaiser has outpatient offices on Stoneridge Drive. The city sits at the junction of I-580 and I-680, which makes it reachable from Dublin, Livermore, San Ramon and Danville, a practical base for practices serving the whole Tri-Valley.

? Should I lease space near a hospital?

Hospital proximity offers advantages including referral relationships, shared patient populations, and perceived prestige. However, hospital-adjacent properties often command premium rents. Consider whether your specialty benefits from hospital proximity (surgeons, specialists) or whether a community location might better serve your patient base (primary care, pediatrics, dentistry).

? What factors influence medical office rents in California?

Medical office rents vary with location (proximity to hospitals and medical corridors), building quality and age, the condition of the space (second-generation medical space with existing exam rooms and plumbing typically leases for more than shell space), lease structure (NNN versus full-service gross), the tenant improvement allowance offered, parking availability, and local supply. Rents also tend to be higher in supply-constrained markets such as Palo Alto and San Francisco than in suburban markets.

? What is a Tenant Improvement Allowance (TIA)?

A Tenant Improvement Allowance (TIA) consists of funds provided by the landlord to help a tenant customize or upgrade a leased space. For medical practices, negotiating a robust TIA is essential to offset the high costs of clinical build-outs, such as installing sinks in exam rooms, upgrading electrical systems for medical equipment, or adding lead-lined walls for imaging. TIAs are typically expressed as dollars per square foot and may range from $30-$100+ PSF depending on market conditions and lease term.

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