DR. TRACY ANNE GOULD D.O.
NPI 1275989550
Pediatrics in Loma Linda, CA

Q: What is Tracy Gould's NPI number?

The NPI number for Tracy Gould is 1275989550. It was assigned to this individual provider in the NPPES registry on May 5, 2016.

Q: What is Tracy Gould's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Gould was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 05, 2016PECOS Enrolled

25845 BARTON RD, LOMA LINDA, CA 92354(909) 558-2828 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2019, Nov 18, 2017, May 18, 2016 (3 updates tracked since 2016).

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About Dr. Tracy Anne Gould D.o. NPPES

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

DR. TRACY ANNE GOULD D.O. (NPI 1275989550) is an individual pediatrics provider in Loma Linda, California, licensed in California (20A15878) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and maintains a secondary practice location in Loma Linda.

NPPES Registry Identity

NPI1275989550

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. TRACY ANNE GOULDCredential: D.O.

Location Address25845 BARTON RDLoma Linda, CA 92354

Mailing Address54701 File NumberLos Angeles, CA 90074-4701 · (909) 651-4300

Phone(909) 558-2828

Sole ProprietorYes

Enumeration DateMay 5, 2016

Last NPPES UpdateJuly 30, 20193 updates tracked since enumeration

✔ NPI 1275989550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · 20A15878

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

25845 BARTON RD, Loma Linda, CA 92354

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Secondary Practice Location 1

Location 111234 Anderson st, Loma LindaLoma Linda, CA 92354 · Phone (909) 558-6131

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Anne Gould D.o. 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 92354 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

DR. HEE CHAN PARK M.D.

Pediatrics