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TRACY OCCUPATIONAL MEDICAL CENTER
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: October 19, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 19, 2022, Sep 21, 2016 (2 updates tracked since 2016).

About Tracy Occupational Medical Center NPPES

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

TRACY OCCUPATIONAL MEDICAL CENTER (NPI 1568522878) 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 NamePREMIER URGENT CARE A PROFESSIONAL MEDICAL CORPORATION
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 UpdateOctober 19, 20222 updates tracked since enumeration
NPPES CertifiedOctober 19, 2022
✔ 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 10

Other20A7496CA · State License Dr. Pulliam
OtherBH8637881CA · Dr. Hubli Bndd Number
OtherA31816CA · State License Dr. Patel
Medicaid00A85126CA
OtherBP4399944CA · Dr. Pulliam Bndd Number
OtherA855092CA · State License Dr. Hubli
OtherAP8331112CA · Dr. Patel Bndd Number
Medicaid00A318160CA
Other05D0695064903593CA · Clia Number
OtherAP8331112CA · Bndd Number

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

Other Providers at the Same Location NPPES 3

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

DR. IAN THOMAS PULLIAM D.O.
Family Medicine
644 W 12TH ST
TRACY, CA 95376
San Joaquin County (209) 832-8984
DRUCILLA ADENIRAN FNP
Nurse Practitioner (Family)
644 W 12TH ST
TRACY, CA 95376
San Joaquin County (209) 832-8984
DR. JAGDISH A PATEL M.D.
Family Medicine (Adult Medicine)
644 W 12TH ST
TRACY, CA 95376
San Joaquin County (209) 832-8984

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 Premier Urgent Care A Professional Medical Corporation's NPI number?

The NPI number for Premier Urgent Care A Professional Medical Corporation 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 Premier Urgent Care A Professional Medical Corporation located?

Premier Urgent Care A Professional Medical Corporation is located at 644 W 12th St, Tracy, CA 95376. The listed phone number is (209) 832-8984.

What is Premier Urgent Care A Professional Medical Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Premier Urgent Care A Professional Medical Corporation was last updated on October 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.