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TRACY OUTPATIENT SURGERY CENTER
NPI 1720044605
Clinic/Center - Endoscopy in Tracy, CA

Active since April 21, 2006
530 W EATON AVE STE P, TRACY, CA 95376(209) 833-8797(209) 835-3246 Get Directions Write a Review

NPPES record last updated: October 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tracy Outpatient Surgery Center NPPES

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

TRACY OUTPATIENT SURGERY CENTER (NPI 1720044605) is a healthcare organization registered as an endoscopy in Tracy, California and active in the NPI registry since April 2006. The organization lists Harpreet S Grewal, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1720044605
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameTRACY OUTPATIENT SURGERY CENTER
Location Address530 W EATON AVE STE PTracy, CA 95376
Mailing Address530 W Eaton Ave Ste PTracy, CA 95376 · (209) 833-8797 · Fax (209) 835-3246
Phone(209) 833-8797
Fax(209) 835-3246
Organization SubpartNo
Authorized OfficialHarpreet S GrewalMedical Director · (209) 833-8797
Enumeration DateApril 21, 2006
Last NPPES UpdateOctober 5, 2010
✔ NPI 1720044605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
License✔ Licensed in CA · CA030001797
Also ListedClinic/Center · Ambulatory SurgicalTaxonomy 261QA1903X · License CA030001797 (CA)
530 W EATON AVE STE P, Tracy, CA 95376
Open in Google Maps ↗

Other Identifiers 1

Medicare ID-Type UnspecifiedZZZ28881ZCA · Medicare

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1086549

Tracy Outpatient Surgery Center · Tracy, CA
Expired · Jul 14, 2026
CLIA Number05D1086549
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJuly 15, 2024
Certificate Expiration DateJuly 14, 2026
Laboratory DirectorHarpreet Grewal, MD
Laboratory Phone(209) 833-8797
Laboratory LocationTracy Outpatient Surgery Center530 W Eaton Avenue, Suite P, Tracy, CA 95376
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Outpatient Surgery Center's NPI number?

The NPI number for Tracy Outpatient Surgery Center is 1720044605. It was assigned to this organization in the NPPES registry on April 21, 2006.

Where is Tracy Outpatient Surgery Center located?

Tracy Outpatient Surgery Center is located at 530 W Eaton Ave Ste P, Tracy, CA 95376. The listed phone number is (209) 833-8797.

What is Tracy Outpatient Surgery Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

When was this NPI record last updated?

The NPPES record for Tracy Outpatient Surgery Center was last updated on October 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.