1. Home
  2. Directory
  3. California
  4. South Pasadena
  5. Dentist
  6. NPI Profile

DR. TRACY HA D.D.S.
NPI 1275943672
Dentist - General Practice in South Pasadena, CA

Active since May 07, 2014PECOS Enrolled
1315 FAIR OAKS AVE STE 103, SOUTH PASADENA, CA 91030(626) 799-8068 Get Directions Write a Review

NPPES record last updated: December 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2021, Jan 13, 2016 (2 updates tracked since 2016).

About Dr. Tracy Ha D.d.s. NPPES

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

DR. TRACY HA D.D.S. (NPI 1275943672) is an individual general practice provider in South Pasadena, California, licensed in California (63236) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275943672
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRACY HACredential: D.D.S.
Location Address1315 FAIR OAKS AVE STE 103South Pasadena, CA 91030-3868
Mailing Address1315 Fair Oaks Ave Ste 103South Pasadena, CA 91030-3868 · (626) 799-8068
Phone(626) 799-8068
Sole ProprietorYes
Enumeration DateMay 7, 2014
Last NPPES UpdateDecember 10, 20212 updates tracked since enumeration
NPPES CertifiedDecember 10, 2021
✔ NPI 1275943672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 63236
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

1315 FAIR OAKS AVE STE 103, South Pasadena, CA 91030
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Ha D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. KENNETH KA CHAN D.D.S.
Dentist
1315 FAIR OAKS AVE STE 103
SOUTH PASADENA, CA 91030
Los Angeles County (626) 799-8068

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 Ha's NPI number?

The NPI number for Tracy Ha is 1275943672. It was assigned to this individual provider in the NPPES registry on May 7, 2014.

Where is Tracy Ha located?

Tracy Ha practices at 1315 Fair Oaks Ave Ste 103, South Pasadena, CA 91030. The listed phone number is (626) 799-8068.

What is Tracy Ha's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Tracy Ha enrolled in Medicare?

Yes. Tracy Ha is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Ha was last updated on December 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.