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COMMUNITY MEDICAL CENTERS, TRACY GRANT LINE
NPI 1164919049
Clinic/Center - Federally Qualified Health Center (FQHC) in Tracy, CA

Active since April 17, 2018
2151 W GRANT LINE RD, TRACY, CA 95377(209) 820-1500 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Community Medical Centers, Tracy Grant Line NPPES

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

COMMUNITY MEDICAL CENTERS, TRACY GRANT LINE (NPI 1164919049) is a healthcare organization registered as a federally qualified health center (fqhc) in Tracy, California and active in the NPI registry since April 2018. The organization lists Christine C Noguera, Ceo, as its authorized official.

NPPES Registry Identity

NPI1164919049
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameCOMMUNITY MEDICAL CENTERS INC
Location Address2151 W GRANT LINE RDTracy, CA 95377-7309
Mailing Address7210 Murray DrStockton, CA 95210-3339 · (209) 373-2800
Phone(209) 820-1500
Organization SubpartNo
Authorized OfficialChristine C NogueraCeo · (203) 373-2831
Enumeration DateApril 17, 2018
✔ NPI 1164919049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
2151 W GRANT LINE RD, Tracy, CA 95377
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Other Names 1

Doing Business AsCommunity Medical Centers, Tracy Grant Line

Other Providers at the Same Location NPPES 20

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

DAISY YONZON JONES DO
Pediatrics
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
JUAN JOSE JUVENAL VERGARA SAAVEDRA M.D.
Internal Medicine
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
ROBERT R WILLIAMS M.D.
Internal Medicine
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
ANITA XUE M.D.
Anesthesiology
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
KHOSROW VAKHSHOURI M.D.
Family Medicine
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
SYDNEY BREE HANSEN MS, RD
Dietitian, Registered
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 820-1500
CHRISTOPHER ROBERT FOSSACECA MD
Anesthesiology
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535
SUTTER VALLEY MEDICAL FOUNDATION
Durable Medical Equipment & Medical Supplies
2151 W GRANT LINE RD
TRACY, CA 95377
San Joaquin County (209) 832-0535

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 Community Medical Centers Inc's NPI number?

The NPI number for Community Medical Centers Inc is 1164919049. It was assigned to this organization in the NPPES registry on April 17, 2018. The provider is doing business as Community Medical Centers, Tracy Grant Line.

Where is Community Medical Centers Inc located?

Community Medical Centers Inc is located at 2151 W Grant Line Rd, Tracy, CA 95377. The listed phone number is (209) 820-1500.

What is Community Medical Centers Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Community Medical Centers Inc was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.