Jacqueline Bracy (NPI# 1396806253, PAC ID# 2961599162) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OBSTETRICS/GYNECOLOGY.
| Nation Provider ID (NPI) | 1396806253 |
| PAC ID by PECOS | 2961599162 |
| Professional Enrollment ID | I20111020000393 |
| Full Name | Jacqueline Bracy |
| Address |
412 W Carroll Ave Suite 108 Glendora CA 91741-4707 |
| Gender | F |
| Graduation Year | 1987 |
| Primary Specialty | OBSTETRICS/GYNECOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050382 | CITRUS VALLEY MEDICAL CENTER-IC CAMPUS |
| 050597 | FOOTHILL PRESBYTERIAN HOSPITAL |
| 050146 | CITY OF HOPE HELFORD CLINICAL RESEARCH HOSPITAL |
| 050099 | SAN ANTONIO REGIONAL HOSPITAL |
| 050231 | POMONA VALLEY HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 412 W Carroll Ave, Suite 108, Glendora, CA 91741-4707 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Street Address |
412 W CARROLL AVE SUITE 108 |
| City | GLENDORA |
| State | CA |
| Zip | 91741-4707 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kee Wong | Orthopedic Surgery | Emanate Health Medical Group | 412 W Carroll Ave, Suite 107, Glendora, CA 91741-4708 |
| Jeremy M Montez | Urology | City of Hope Medical Foundation | 412 W Carroll Ave, Suite 200, Glendora, CA 91741-4709 |
| Naji Kandalaft | Cardiovascular Disease (cardiology) | 412 W Carroll Ave, Suite 204, Glendora, CA 91741-4240 | |
| Michael Yeranosian | Sports Medicine | Emanate Health Medical Group | 412 W Carroll Ave, Suite 107, Glendora, CA 91741-4708 |
| David P Masiello | Hematology/oncology | Austin J Ma, Md A Professional Corporation | 412 W Carroll Ave, Suite 210, Glendora, CA 91741-4712 |
| Henry Moussa | Physical Therapy | Orthopaedic Medical Group and Athletic Rehabilitation Center, Inc | 412 W Carroll Ave, Glendora, CA 91741-4700 |
| Bruce Weimer | Neurology | 412 W Carroll Ave, Suite 203, Glendora, CA 91741-4240 | |
| Shilpa Shah | Hematology/oncology | Austin J Ma, Md A Professional Corporation | 412 W Carroll Ave, Glendora, CA 91741-4712 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa L Frost | Nurse Practitioner | 535 N Glendora Ave, Glendora, CA 91741-2005 | |
| Ibrahim Issa Hanna | Internal Medicine | 640 W Foothill Blvd, Suite 100, Glendora, CA 91741-2403 | |
| Jeanine L Goff | Nurse Practitioner | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
| Gale Estelle Laidlaw | Nurse Practitioner | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
| Tallin Martirossian | Physician Assistant | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
| Amanda Duncan | Physician Assistant | Integrative Urgent Care, Inc. | 148 N Grand Ave, Glendora, CA 91741-2434 |
| Teresa A Franzman | Chiropractic | 705 W Foothill Blvd, Glendora, CA 91741-2473 | |
| Martin Habern | Chiropractic | 705 W Foothill Blvd, Glendora, CA 91741-2473 | |
| Thomas J Malcolm | Psychologist, Clinical | 112 W Bennett Ave, Suite 4, Glendora, CA 91741-2568 | |
| Richard Foss | Psychologist, Clinical | 150 E Meda Ave, Suite 110, Glendora, CA 91741-2607 | |
| Find all physicians in zip 91741 | |||
| City | GLENDORA |
| Zip Code | 91741 |
| Specialty | OBSTETRICS/GYNECOLOGY |
| City + Specialty | GLENDORA + OBSTETRICS/GYNECOLOGY |
Please comment or provide details below to improve the information on Jacqueline Bracy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.