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
- 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
- Code Navigator
Location Map
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
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
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope
Complex application of radiation source
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
Injection of lower or sacral spine facet joint using imaging guidance, single level
Injection of substance into lower spine canal using imaging guidance
Injection of substance into middle or upper spine canal using imaging guidance
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography
Insertion of needle or tube into prostate for radiation therapy
Removal of cataract with insertion of prosthetic lens
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
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 patientsThis 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 patientsComplex 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsThis 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 patientsCLIA 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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
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.
Other Providers at the Same Location
The following 14 providers are registered at the same or a nearby location.
TRACY, CA 95377
TRACY, CA 95377
TRACY, CA 95377
TRACY, CA 95377
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.