TRACY TRAN CANONIZADO
NPI 1447858139
Nurse Practitioner - Family in El Cajon, CA

Active since October 14, 2020PECOS EnrolledAccepts Medicare Assignment
81.87/100
CMS Quality Rating
2760 FLETCHER PKWY, EL CAJON, CA 92020(877) 993-4321 Get Directions Write a Review

NPPES record last updated: December 18, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 18, 2024, May 16, 2024, Nov 3, 2020 and 1 more (4 updates tracked since 2020).

About Tracy Tran Canonizado NPPES

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

TRACY TRAN CANONIZADO (NPI 1447858139) is an individual family provider in El Cajon, California, licensed in California (95015474) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1447858139
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameTRACY TRAN CANONIZADO
Location Address2760 FLETCHER PKWYEl Cajon, CA 92020-2110
Mailing Address2760 Fletcher PkwyEl Cajon, CA 92020-2110 · (858) 755-6697
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateOctober 14, 2020
Last NPPES UpdateDecember 18, 20244 updates tracked since enumeration
NPPES CertifiedDecember 18, 2024
✔ NPI 1447858139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in CA · 95015474✔ Licensed in MN · 11501
2760 FLETCHER PKWY, El Cajon, CA 92020

Secondary Practice Locations 8

Location 12760 Fletcher PkwyEl Cajon, CA 92020-2110 · Phone (877) 993-4321
Location 24241 Johnny Cake RoadEagan, MN 55122 · Phone (877) 993-4321
Location 31 Cvs DrWoonsocket, RI 02895-6146 · Phone (877) 993-4321
Location 445-480 Kaneohe Bay DrKaneohe, HI 96744-2039 · Phone (877) 993-4321
Location 511200 Lincoln HwyMokena, IL 60448-8208 · Phone (877) 993-4321
Location 63825 S Noland RdIndependence, MO 64055-3344 · Phone (877) 993-4321
Location 77777 S Redwood RdWest Jordan, UT 84084-5518 · Phone (877) 993-4321
Location 8531 Queen Anne Ave NSeattle, WA 98109-4521 · Phone (877) 993-4321

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tracy Tran Canonizado is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7517370372
PECOS Enrollment IDI20210115001523
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Tracy Canonizado reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family
2760 FLETCHER PKWY
El Cajon, CA 92020
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
Primary Care
9850 GENESEE AVE STE 320
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 341 clinicians in this Medicare group
Nurse Practitioner
14330 CULVER DR
Irvine, CA 92604
  • Reassigned Medicare billing, California enrollment
  • 212 clinicians in this Medicare group
Family
511 N HOLLYWOOD WAY
Burbank, CA 91505
  • Reassigned Medicare billing, California enrollment
  • 236 clinicians in this Medicare group
Family
11200 W LINCOLN HWY
Mokena, IL 60448
  • Reassigned Medicare billing, Illinois enrollment
  • 223 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92020 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.57
Improvement Activities40
Cost91.69

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.

Nurse Practitioner (Family)
2760 FLETCHER PKWY
EL CAJON, CA 92020
Nurse Practitioner (Family)
2760 FLETCHER PKWY
EL CAJON, CA 92020
Nurse Practitioner (Family)
2760 FLETCHER PKWY
EL CAJON, CA 92020
Nurse Practitioner (Family)
2760 FLETCHER PKWY
EL CAJON, CA 92020
Nurse Practitioner
2760 FLETCHER PKWY
EL CAJON, CA 92020
Social Worker (Clinical)
2760 FLETCHER PKWY
EL CAJON, CA 92020
Nurse Practitioner (Family)
2760 FLETCHER PKWY
EL CAJON, CA 92020
Nurse Practitioner (Family)
2760 FLETCHER PKWY
EL CAJON, CA 92020

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 Canonizado's NPI number?

The NPI number for Tracy Canonizado is 1447858139. It was assigned to this individual provider in the NPPES registry on October 14, 2020.

Where is Tracy Canonizado located?

Tracy Canonizado practices at 2760 Fletcher Pkwy, El Cajon, CA 92020. The listed phone number is (877) 993-4321.

What is Tracy Canonizado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Tracy Canonizado enrolled in Medicare?

Yes. Tracy Canonizado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Tracy Canonizado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tracy Canonizado reassigns Medicare benefits to 5 organizations: Minuteclinic Diagnostic Medical Group Of San Diego Inc (El Cajon, CA), Monica Perlman MD Inc. (La Jolla, CA), Minuteclinic Diagnostic Medical Group Of Orange County Inc (Irvine, CA), Minuteclinic Diagnostic Medical Group Of California Inc (Burbank, CA) and Minuteclinic Diagnostic Of Illinois PLLC (Mokena, IL). Each 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 Tracy Canonizado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tracy Canonizado accept?

Health plans from Molina Healthcare list Tracy Canonizado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tracy Canonizado was last updated on December 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.