TRACY MEDICAL GROUP
NPI 1639135510
Family Medicine in Tracy, CA
NPI Status: Active since April 21, 2006
Contact Information
530 W EATON AVE STE K
TRACY, CA
ZIP 95376
Phone: (209) 835-4232
Fax: (209) 835-3246
- Organization
- Family Medicine
- Accepts Insurance
- CLIA Number: 05D0611042
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-31-2026
About TRACY MEDICAL GROUP
This page provides the complete NPI Profile along with additional information for Tracy Medical Group, a primary care provider established in Tracy, California operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1639135510 assigned on April 2006. The practitioner's primary taxonomy code is 207Q00000X with license number A40558 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. Tracy Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Tracy Medical Group. The authorized official of this NPI record is Mrs. Kriss Milts (Office Manager)
- NPI
- 1639135510
- Provider Legal Name
- GREWAL MEDICAL ASSOCIATES
- Other Organization Name
- TRACY MEDICAL GROUP
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 530 W EATON AVE STE K TRACY, CA 95376
- Location Phone
- (209) 835-4232
- Location Fax
- (209) 835-3246
- Mailing Address
- 530 W EATON AVE STE K TRACY, CA 95376
- Mailing Phone
- (209) 835-4232
- Mailing Fax
- (209) 835-3246
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-21-2006
- Last Update Date
- 02-05-2010
- Code Navigator
A primary care provider (PCP) like Tracy Medical Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A40558
- License State
- CA
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | A53793 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- SummaCare Bronze 8000 - HMO
- SummaCare Bronze 8000 with Adult Vision Exam - HMO
- SummaCare Bronze 9200 with 3 Free PCP Visits - HMO
- SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits - HMO
- SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision - HMO
- SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits - HMO
- SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam - HMO
- SummaCare Silver 7000 with 3 Free PCP Visits - HMO
- SummaCare Standard Bronze - HMO
- SummaCare Standard Bronze with Adult Vision - HMO
- SummaCare Standard Gold - HMO
- SummaCare Standard Gold with Adult Vision - HMO
- SummaCare Standard Silver - HMO
- SummaCare Standard Silver with Adult Vision - HMO
- SummaCare Value with 3 Free PCP Visits + Adult Vision - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ01049Z | MEDICARE ID-TYPE UNSPECIFIED (04) | CA | MEDICARE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0611042
- Facility Type
- Physician Office
- Certificate Effective Date
- September 01, 2024
- Certificate Expiration Date
- August 31, 2026
- Laboratory Director
- LELAND M. KAHLER
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Tracy Medical Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 3 | 9 | 1 | 3 | 5 | 5 | 1 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 6 | 9 | 2 | 3 | 10 | 5 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 6 + 9 + 2 + 3 + 1 + 0 + 5 + 2 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1639135510 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
HARPREET SINGH GREWAL M.D.
Family Medicine
(Adult Medicine)
530 W EATON AVE STE K
TRACY, CA
ZIP 95376
MRS. MARIA-TEREZA OBIEN GAMULO-OWEN FNP
Registered Nurse
530 W EATON AVE STE K
TRACY, CA
ZIP 95376
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1639135510, enumerated as an "organization" on April 21, 2006.
The provider is located at 530 W EATON AVE STE K TRACY, CA 95376 and the phone number is (209) 835-4232.
Family Medicine with taxonomy code 207Q00000X.
The provider might be accepting Accepts: SummaCare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
