TRACY SURGERY CENTER, LLC
NPI 1013104389
Clinic/Center - Ambulatory Surgical in Tracy, CA

NPI Status: Active since October 01, 2007

Contact Information

2160 W GRANT LINE RD
SUITE 120
TRACY, CA
ZIP 95377
Phone: (209) 836-5680

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D1077647
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 12-13-2027

About TRACY SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for Tracy Surgery Center, Llc, a provider established in Tracy, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1013104389 assigned on October 2007. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's other name is Tracy Surgery Center, Llc. The authorized official of this NPI record is Jennifer Boyd Baldock (Officer And Authorized Official)

NPI
1013104389
Provider Legal Name
TRACY SURGERY CENTER, LLC
Other Organization Name
TRACY SURGERY CENTER, LLC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2160 W GRANT LINE RD SUITE 120 TRACY, CA 95377
Location Phone
(209) 836-5680
Mailing Address
2160 W GRANT LINE RD SUITE 120 TRACY, CA 95377
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-01-2007
Last Update Date
03-06-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER BOYD BALDOCK

Authorized Official Title
OFFICER AND AUTHORIZED OFFICIAL
Authorized Official Phone
(615) 234-5954

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Aspiration and/or injection of fluid from large joint

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

This service was performed 41 times for 25 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 16 times for 16 patients

Complex application of radiation source

Complex application of radiation source is a medical procedure used in cancer treatment. It involves the careful placement of radioactive materials in or near the tumor. This helps to destroy cancer cells while minimizing damage to healthy tissues. It's a precise and targeted approach.

This service was performed 13 times for 13 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

This service was performed 22 times for 12 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

This service was performed 69 times for 41 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

This service was performed 30 times for 17 patients

Injection of substance into lower spine canal using imaging guidance

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

This service was performed 64 times for 45 patients

Injection of substance into middle or upper spine canal using imaging guidance

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

This service was performed 15 times for 11 patients

Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography

This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.

This service was performed 43 times for 20 patients

Insertion of needle or tube into prostate for radiation therapy

This procedure involves placing a fine needle or small tube into a gland located in the lower part of your body. It's done to deliver radiation therapy directly to the area, helping to treat conditions effectively. It's performed by a trained professional.

This service was performed 12 times for 12 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 53 times for 39 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

This service was performed 11 times for 11 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1077647
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
December 14, 2025
Certificate Expiration Date
December 13, 2027
Laboratory Director
SALMAN RAZI MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Tracy Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013104389, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
1
Doubled → 2
Pos 6
0
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 1 → 2 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 2 + 0 + 8 + 3 + 1 + 6 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1013104389.

Other Providers at the Same Location


The following 14 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
2160 W GRANT LINE RD, SUITE 240
TRACY, CA 95377
Urology
2160 W GRANT LINE RD, SUITE 140
TRACY, CA 95377
Surgery (Plastic and Reconstructive Surgery)
2160 W GRANT LINE RD, SUITE 250
TRACY, CA 95377
Optometrist
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
Anesthesiology
2160 W GRANT LINE RD, SUITE 120
TRACY, CA 95377
Dentist
2160 W GRANT LINE RD, SUITE 220
TRACY, CA 95377
Otolaryngology (Facial Plastic Surgery)
2160 W GRANT LINE RD, SUITE 250
TRACY, CA 95377
Internal Medicine
2160 W GRANT LINE RD, STE 230
TRACY, CA 95377
Pharmacy (Community/Retail Pharmacy)
2160 W GRANT LINE RD, STE 205
TRACY, CA 95377
Surgery (Plastic and Reconstructive Surgery)
2160 W GRANT LINE RD, SUITE 250
TRACY, CA 95377
Internal Medicine
2160 W GRANT LINE RD, STE.230
TRACY, CA 95377
Counselor (Mental Health)
2160 W GRANT LINE RD
TRACY, CA 95377
Ophthalmology
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
Ophthalmology
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013104389, enumerated as an "organization" on October 01, 2007.

The provider is located at 2160 W GRANT LINE RD SUITE 120 TRACY, CA 95377 and the phone number is (209) 836-5680.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.