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

Active since October 01, 2007CLIA 05D1077647 · Waiver
2160 W GRANT LINE RD, SUITE 120, TRACY, CA 95377(209) 836-5680 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 6, 2023, May 30, 2019 (2 updates tracked since 2019).

About Tracy Surgery Center, Llc NPPES

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

TRACY SURGERY CENTER, LLC (NPI 1013104389) is a healthcare organization registered as an ambulatory surgical in Tracy, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through December 13, 2027 and lists Jennifer Boyd Baldock, Officer And Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1013104389
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTRACY SURGERY CENTER, LLC
Location Address2160 W GRANT LINE RD, SUITE 120Tracy, CA 95377-7330
Mailing Address2160 W Grant Line Rd, Suite 120Tracy, CA 95377-7330
Phone(209) 836-5680
Organization SubpartNo
Authorized OfficialJennifer Boyd BaldockOfficer And Authorized Official · (615) 234-5954
Enumeration DateOctober 1, 2007
Last NPPES UpdateMarch 6, 20232 updates tracked since enumeration
NPPES CertifiedMarch 6, 2023
✔ NPI 1013104389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2160 W GRANT LINE RD, Tracy, CA 95377
Open in Google Maps ↗

Other Names 1

Other NameTracy Surgery Center, Llc

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 05D1077647

Tracy Surgery Center, LLC · Tracy, CA
Active · expires Dec 13, 2027
CLIA Number05D1077647
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorSalman Razi MD
Laboratory Phone(209) 836-5680
Laboratory LocationTracy Surgery Center, LLC2160 W Grant Line Rd Suite 120, Tracy, CA 95377
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
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.
88 services50 patients
Removal of cataract with insertion of prosthetic lens 66984
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.
65 services51 patients
Injection of substance into lower spine canal using imaging guidance 62323
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.
61 services43 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
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.
53 services25 patients
Aspiration and/or injection of fluid from large joint 20610
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.
48 services30 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
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.
43 services21 patients

Other Providers at the Same Location NPPES 14

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

DAVID ALAN EDELSOHN MD
Anesthesiology
2160 W GRANT LINE RD, SUITE 120
TRACY, CA 95377
San Joaquin County (209) 836-5680
DR. USMAN M ALI M.D.
Internal Medicine
2160 W GRANT LINE RD, STE 230
TRACY, CA 95377
San Joaquin County (209) 832-8700
DELTA EYE MEDICAL GROUP, INC.
Ophthalmology
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
San Joaquin County (209) 835-2227
TRACY URGENT CARE, INC
Internal Medicine
2160 W GRANT LINE RD, STE.230
TRACY, CA 95377
San Joaquin County (209) 832-8700
MITCHELL E. BLUM M.D., F.A.C.S., INC.
Otolaryngology (Facial Plastic Surgery)
2160 W GRANT LINE RD, SUITE 250
TRACY, CA 95377
San Joaquin County (209) 834-0626
MR. MAHESH G MODI MD
Internal Medicine (Gastroenterology)
2160 W GRANT LINE RD, SUITE 240
TRACY, CA 95377
San Joaquin County (209) 833-6118
GRANT LINE PHARMACY INC
Pharmacy (Community/Retail Pharmacy)
2160 W GRANT LINE RD, STE 205
TRACY, CA 95377
San Joaquin County (209) 832-2999
HANA RHA LIM O.D.
Optometrist
2160 W GRANT LINE RD, SUITE 100
TRACY, CA 95377
San Joaquin County (209) 835-2227

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 Tracy Surgery Center, LLC's NPI number?

The NPI number for Tracy Surgery Center, LLC is 1013104389. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Tracy Surgery Center, LLC located?

Tracy Surgery Center, LLC is located at 2160 W Grant Line Rd Suite 120, Tracy, CA 95377. The listed phone number is (209) 836-5680.

What is Tracy Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Tracy Surgery Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1077647) is associated with this NPI, valid through December 13, 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 Tracy Surgery Center, LLC was last updated on March 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.