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PATEL & PULLIAM APMC
NPI 1568522878
Family Medicine in Tracy, CA

Active since December 11, 2006
644 W 12TH ST, TRACY, CA 95376(209) 832-8984(209) 832-8988 Get Directions Write a Review

NPPES record last updated: August 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 28, 2026, Oct 19, 2022, Sep 21, 2016 (3 updates tracked since 2016).

About Patel & Pulliam Apmc NPPES

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

PATEL & PULLIAM APMC (NPI 1568522878), doing business as Tracy Occupational Medical Center, is a healthcare organization registered as a family medicine in Tracy, California and active in the NPI registry since December 2006. The organization lists Jagdish Ambalal Patel, President, as its authorized official.

NPPES Registry Identity

NPI1568522878
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePATEL & PULLIAM APMC
Location Address644 W 12TH STTracy, CA 95376-3437
Mailing Address644 W 12th StTracy, CA 95376-3437 · (209) 832-8984 · Fax (209) 832-8988
Phone(209) 832-8984
Fax(209) 832-8988
Organization SubpartNo
Authorized OfficialJagdish Ambalal PatelPresident · (209) 832-8984
Enumeration DateDecember 11, 2006
Last NPPES UpdateAugust 28, 20263 updates tracked since enumeration
NPPES CertifiedAugust 28, 2026
✔ NPI 1568522878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · 20A7496✔ Licensed in CA · A31816✔ Licensed in CA · A855092
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 20A7496 (CA)
644 W 12TH ST, Tracy, CA 95376
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Other Names 1

Doing Business AsTracy Occupational Medical Center

Other Identifiers 9

Medicaid00A85126CA
Other05D0695064903593CA · Clia Number
OtherA855092CA · State License Dr. Hubli
Other20A7496CA · State License Dr. Pulliam
OtherA31816CA · State License Dr. Patel
OtherAP8331112CA · Dr. Patel Bndd Number
OtherBP4399944CA · Dr. Pulliam Bndd Number
OtherAP8331112CA · Bndd Number
Medicaid00A318160CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Patel & Pulliam Apmc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Patel & Pulliam Apmc, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Drucilla Adeniran, FNP
Nurse Practitioner
NPI 1356073381
644 W 12TH ST
Tracy, CA 95376
(209) 832-8984
✔ PECOSSame address
Ricardo Echon, FNP-C
Nurse Practitioner
NPI 1821417718
644 W 12TH STREET
Tracy, CA 95376
(209) 832-8984
✔ PECOSSame address
Jagdish Patel, M.D.
Family Practice
NPI 1407897481
644 W 12TH ST
Tracy, CA 95376
(209) 832-8984
✔ PECOSSame address
Ian Pulliam, D.O.
Family Practice
NPI 1245262682
644 W 12TH ST
Tracy, CA 95376
(209) 832-8984
✔ PECOSSame address

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

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 Patel & Pulliam Apmc's NPI number?

The NPI number for Patel & Pulliam Apmc is 1568522878. It was assigned to this organization in the NPPES registry on December 11, 2006. The provider is doing business as Tracy Occupational Medical Center.

Where is Patel & Pulliam Apmc located?

Patel & Pulliam Apmc is located at 644 W 12th St, Tracy, CA 95376. The listed phone number is (209) 832-8984.

What is Patel & Pulliam Apmc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Patel & Pulliam Apmc enrolled in Medicare?

Yes. Patel & Pulliam Apmc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Patel & Pulliam Apmc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Patel & Pulliam Apmc, in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Patel & Pulliam Apmc was last updated on August 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.