TRACY OUTPATIENT SURGERY CENTER – NPI #1720044605
Clinic/Center

TRACY OUTPATIENT SURGERY CENTER is an AHC clinic located in TRACY, CA. NPPES has assigned the NPI number 1720044605 to TRACY OUTPATIENT SURGERY CENTER on April 21, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QE0800X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Endoscopy

The NPI profile was previously updated about 16 years ago on Oct 05, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TRACY OUTPATIENT SURGERY CENTER below.

NPI Profile for
TRACY OUTPATIENT SURGERY CENTER

NPI Number
1720044605
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
TRACY OUTPATIENT SURGERY CENTER
Primary location
530 W EATON AVE STE P
TRACY, CA 95376
Phone: (209) 833-8797 Fax: (209) 835-3246
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HARPREET GREWAL
MEDICAL DIRECTOR
Phone: (209) 833-8797
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QE0800X
- Clinic/Center / Endoscopy (Primary)
CA CA030001797
261QA1903X
- Clinic/Center / Ambulatory Surgical
CA CA030001797

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.