TRACY DREAS-PENROD PA
NPI 1467596791
Physician Assistant in San Diego, CA

Q: What is Tracy Dreas-penrod's NPI number?

The NPI number for Tracy Dreas-penrod is 1467596791. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Q: What is Tracy Dreas-penrod's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Active since February 19, 2007

1809 NATIONAL AVE, SAN DIEGO, CA 92113(619) 515-2300 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 17, 2018, Nov 22, 2017, Sep 12, 2016 (3 updates tracked since 2016).

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About Tracy Dreas-penrod Pa NPPES

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

TRACY DREAS-PENROD PA (NPI 1467596791) is an individual physician assistant in San Diego, California, licensed in California (PA13225) and active in the NPI registry since February 2007. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1467596791

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameTRACY DREAS-PENRODCredential: PA

Location Address1809 NATIONAL AVESan Diego, CA 92113-2113

Mailing Address823 Gateway Center WaySan Diego, CA 92102-4541 · (619) 906-4623 · Fax (619) 906-4564

Phone(619) 515-2300

Sole ProprietorNo

Enumeration DateFebruary 19, 2007

Last NPPES UpdateMarch 17, 20183 updates tracked since enumeration

✔ NPI 1467596791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · PA13225

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1809 NATIONAL AVE, San Diego, CA 92113

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Secondary Practice Location 1

Location 1823 Gateway Center WaySan Diego, CA 92102-4541 · Phone (619) 906-4623 · Fax (619) 906-4564

Other Identifiers 1

Other13225CA · License

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.

ISMAEL LABRA HERNANDEZ

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