ROBERT A TRACY (NPI# 1316219058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316219058 |
| Entity Type | Individual |
| Full Name | ROBERT A TRACY |
| Credential | DO |
| Practice Address |
3056 Fletcher Dr Los Angeles CA 90065-2207 |
| Practice Telephone | 3232562231 |
| Practice Fax Number | 3238922571 |
| Mailing Telephone | 3232562231 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2016-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
2OA12632 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437562279 | Robert Conaty Tracy | Internal Medicine | 10500 Montgomery Rd, Cincinnati, OH 45242-4402 | 2014-06-10 |
| 1487951984 | Robert Tracy | Behavioral Analyst | 30 Luscomb Rd, Taunton, MA 02780-4704 | 2011-02-17 |
| 1447304019 | Robert E. Tracy | Dentist | 11066 5th Ave Ne, Suite 200, Seattle, WA 98125-6156 | 2007-01-22 |
| 1003848763 | Robert N Tracy | Family Medicine | 2626 Alexandria Pike, Highland Heights, KY 41076-1530 | 2006-07-06 |
| Street Address |
3056 FLETCHER DR |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90065-2207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083005474 | Robert Tracy Do, Inc | Family Medicine | 3056 Fletcher Dr, Los Angeles, CA 90065-2207 | 2015-02-06 |
| 1750704250 | Apollomed Care Clinic A Professional Corporation | Internal Medicine | 3056 Fletcher Dr, Los Angeles, CA 90065-2207 | 2014-02-04 |
| 1578800827 | Martha G Morris | Physician Assistant | 3056 Fletcher Dr, Los Angeles, CA 90065-2207 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134613177 | Carmela Hermann Dietrich | Massage Therapist | 546 Frontenac Avenue, Los Angeles, CA 90065 | 2018-06-21 |
| 1245421981 | Kerry Glen Thorne | Marriage & Family Therapist | 3374 Scarboro St, Los Angeles, CA 90065 | 2007-08-07 |
| 1275654311 | Cal Care Ambulance Service | Ambulance | 2829 N. San Fernando Rd #203, Los Angeles, CA 90065 | 2007-04-03 |
| 1053430116 | Feliza Perez | Rehabilitation Practitioner | 2677 1/2 202 Ave, Huntington Park, CA 90065 | 2007-03-28 |
| 1154475382 | Grace O Serrano | Dentist | 4146 Verdugo Rd, Los Angeles, CA 90065 | 2007-01-23 |
| 1265532519 | Dae H Song | Dentist | 3129 San Fernando Rd, Los Angeles, CA 90065 | 2006-09-25 |
| 1730289737 | Calox Inc | Durable Medical Equipment & Medical Supplies | 3034 Fierro Street, Los Angeles, CA 90065 | 2006-09-22 |
| 1093224131 | Andre Marderosian | Dentist | 3129 N San Fernando Rd, Los Angeles, CA 90065 | 2017-09-20 |
| 1710345491 | Golden Van Rides Inc. | Non-emergency Medical Transport (VAN) | 3920 Eagle Rock Blvd, Suite C, Los Angeles, CA 90065 | 2016-02-09 |
| 1841467396 | Highland Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 2648 N Figueroa St, Los Angeles, CA 90065-1026 | 2008-05-14 |
| Find all providers in zip 90065 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669092854 | Wellbeing Clinic Inc | Family Medicine | 1621 S New Hampshire Ave, Los Angeles, CA 90006-4513 | 2020-04-17 |
| 1265902928 | Shivangi Amin Md, Inc | Family Medicine | 701 N Alvarado St Fl 1, Los Angeles, CA 90026 | 2018-11-26 |
| 1952660599 | Lacy Little Knowles | Family Medicine | 6801 Park Ter Ste 130, Los Angeles, CA 90045 | 2012-05-15 |
| 1245525690 | Mahendra G Sanathra | Family Medicine | 2015 E. Florence Ave., Los Angeles, CA 90001-2754 | 2011-06-14 |
| 1811056500 | Mcgarrity D O Medical Corporation | Family Medicine | 3750 Santa Rosalia Dr, Suite 101, Los Angeles, CA 90008-3627 | 2006-12-08 |
| 1083626543 | Jeffrey Steven Harris | Family Medicine | 11560 W Pico Blvd, Los Angeles, CA 90064-1520 | 2006-08-13 |
| 1952336752 | Lydia Marie Green | Family Medicine | 6033 W Century Blvd Ste 200, Los Angeles, CA 90045-6440 | 2006-07-11 |
| 1245273820 | Edwin H Choi | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020 | 2006-06-13 |
| 1346712866 | Simona Davoudpour Do A Professional Medical Corporation | Family Medicine | 5757 Wilshire Blvd., Promenade 2, Los Angeles, CA 90036 | 2018-12-21 |
| 1831671411 | Suh Hee Kim | Family Medicine | 3663 W 6th St Ste 103, Los Angeles, CA 90020-3047 | 2018-08-30 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90065 |
Please comment or provide details below to improve the information on ROBERT A TRACY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.