ROBERT TRACY DO, INC
NPI 1083005474
Family Medicine in Los Angeles, CA

Q: What is Robert Tracy Do, Inc's NPI number?

The NPI number for Robert Tracy Do, Inc is 1083005474. It was assigned to this organization in the NPPES registry on February 6, 2015.

Q: What is Robert Tracy Do, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since February 06, 2015

3056 FLETCHER DR, LOS ANGELES, CA 90065(323) 256-2231(323) 892-2571 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Robert Tracy Do, Inc NPPES

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

ROBERT TRACY DO, INC (NPI 1083005474) is a healthcare organization registered as a family medicine in Los Angeles, California and active in the NPI registry since February 2015. The organization maintains a secondary practice location in Anaheim and lists Robert A Tracy, Owner, as its authorized official.

NPPES Registry Identity

NPI1083005474

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameROBERT TRACY DO, INC

Location Address3056 FLETCHER DRLos Angeles, CA 90065-2207

Mailing Address3056 Fletcher DrLos Angeles, CA 90065-2207 · (323) 256-2231 · Fax (323) 892-2571

Phone(323) 256-2231

Fax(323) 892-2571

Organization SubpartNo

Authorized OfficialRobert A TracyOwner · (323) 256-2231

Enumeration DateFebruary 6, 2015

Last NPPES UpdateSeptember 4, 2024

NPPES CertifiedSeptember 4, 2024

✔ NPI 1083005474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

3056 FLETCHER DR, Los Angeles, CA 90065

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Secondary Practice Location 1

Location 1292 N Wilshire Ave Ste 102Anaheim, CA 92801-5851 · Phone (714) 215-4555 · Fax (213) 800-8335

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Tracy Do, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Robert Tracy Do, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Robert Tracy, DO

Family Practice

NPI 1316219058

3056 FLETCHER DR
Los Angeles, CA 90065

(323) 256-2231

✔ PECOS✔ Accepts MedicareSame address

Ron Birnbaum, M.D,

Dermatology

NPI 1942412291

1024 W. CARSON LOS ANGELES COUNTY HARBOR UCLA MEDICAL CENTER
Torrance, CA 90509

(310) 781-1396

✔ PECOS✔ Accepts Medicare20 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Robert Tracy Do, Inc's NPI number?

The NPI number for Robert Tracy Do, Inc is 1083005474. It was assigned to this organization in the NPPES registry on February 6, 2015.

Where is Robert Tracy Do, Inc located?

Robert Tracy Do, Inc is located at 3056 Fletcher Dr, Los Angeles, CA 90065. The listed phone number is (323) 256-2231.

What is Robert Tracy Do, Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Robert Tracy Do, Inc enrolled in Medicare?

Yes. Robert Tracy Do, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Robert Tracy Do, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Robert Tracy Do, Inc, in Dermatology and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Robert Tracy Do, Inc was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.