DR. TRACY LYNN CARLIS PHD
NPI 1730225640
Medical Genetics, Ph.D. Medical Genetics in Encino, CA

Q: What is Tracy Carlis's NPI number?

The NPI number for Tracy Carlis is 1730225640. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Tracy Carlis's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Q: When was this NPI record last updated?

The NPPES record for Tracy Carlis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since January 29, 2007PECOS Enrolled

5000 HAYVENHURST AVE, ENCINO, CA 91436(818) 713-0508(818) 703-8050 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. Tracy Lynn Carlis Phd NPPES

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

DR. TRACY LYNN CARLIS PHD (NPI 1730225640) is an individual medical genetics, ph.d. medical genetics provider in Encino, California, licensed in California (PSY16888) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1730225640

Entity TypeIndividualFemale

Primary Taxonomy170100000X

Provider Legal NameDR. TRACY LYNN CARLISCredential: PHD

Location Address5000 HAYVENHURST AVEEncino, CA 91436-1115

Mailing Address5000 Hayvenhurst AveEncino, CA 91436-1115 · (818) 713-0508 · Fax (818) 703-8050

Phone(818) 713-0508

Fax(818) 703-8050

Sole ProprietorYes

Enumeration DateJanuary 29, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730225640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMedical Genetics, Ph.D. Medical GeneticsOther Service Providers

Taxonomy Code170100000X

License✔ Licensed in CA · PSY16888

Definition

A medical geneticist works in association with a medical specialist, is affiliated with a clinical genetics program, and serves as a consultant to medical and dental specialists.

5000 HAYVENHURST AVE, Encino, CA 91436

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tracy Lynn Carlis Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Carlis's NPI number?

The NPI number for Tracy Carlis is 1730225640. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Tracy Carlis located?

Tracy Carlis practices at 5000 Hayvenhurst Ave, Encino, CA 91436. The listed phone number is (818) 713-0508.

What is Tracy Carlis's specialty?

The primary specialty registered for this NPI is Medical Genetics, Ph.D. Medical Genetics with taxonomy code 170100000X.

Is Tracy Carlis enrolled in Medicare?

Yes. Tracy Carlis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tracy Carlis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.