Tracy Lee Polanco (NPI# 1538138631, PAC ID# 6608837083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1538138631 |
| PAC ID by PECOS | 6608837083 |
| Professional Enrollment ID | I20041019001265 |
| Full Name | Tracy Lee Polanco |
| Organization Legal Name | CIECAL RC INC |
| Address |
769 Medical Ctr Ct Suite 303 Chula Vista CA 91911-6602 |
| Phone Number | 6192276427 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446539241 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050222 | SHARP CHULA VISTA MEDICAL CENTER |
| 050100 | SHARP MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 769 Medical Ctr Ct, Suite 303, Chula Vista, CA 91911-6602 | 6192276427 | CIECAL RC INC |
| Organization Legal Name | CIECAL RC INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leticia A Polanco | Family Medicine | Ciecal Rc Inc | 769 Medical Ctr Ct, Suite 303, Chula Vista, CA 91911-6602 |
| Street Address |
769 MEDICAL CTR CT SUITE 303 |
| City | CHULA VISTA |
| State | CA |
| Zip | 91911-6602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Phillip G Zentner | Radiation Oncology | X-ray Medical Group Radiation Oncology Inc | 769 Medical Ctr Ct, Chula Vista, CA 91911-6602 |
| Kenneth B Johnson | Hematology | Marilyn S. Norton M.d., Inc. | 769 Medical Ctr Ct, Suite 202, Chula Vista, CA 91911-6602 |
| Marilyn S Norton | Hematology/oncology | Marilyn S. Norton M.d., Inc. | 769 Medical Ctr Ct, Suite 202, Chula Vista, CA 91911-6602 |
| Leticia A Polanco | Family Medicine | Ciecal Rc Inc | 769 Medical Ctr Ct, Suite 303, Chula Vista, CA 91911-6602 |
| Siavash Md Jabbari | Radiation Oncology | X-ray Medical Group Radiation Oncology Inc | 769 Medical Ctr Ct, Chula Vista, CA 91911-6602 |
| Jeannette Delvalle | Internal Medicine | 769 Medical Ctr Ct, Suite 203, Chula Vista, CA 91911-6602 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Penny Weiser | Psychologist, Clinical | 815 3rd Ave, Suite 107, Chula Vista, CA 91911-1308 | |
| Don E Miller | Psychologist, Clinical | 815 3rd Ave, Suite 307, Chula Vista, CA 91911-1310 | |
| Georges M Argoud | Endocrinology | San Diego Coastal Endocrinology Group, A Medical Corporation | 855 3rd Ave, Suite 1110, Chula Vista, CA 91911-1350 |
| Lauren Anderson | Psychiatry | Community Research Foundation Inc | 835 3rd Ave C, Chula Vista, CA 91911-1352 |
| Hamid D Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave A, Chula Vista, CA 91911-1352 |
| Nasrin Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Patrick Pakan Sassani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Majid Mani | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Tayson De Lengocky | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Ayham R Skaf | Ophthalmology | Nasrin and Hamid Mani, Ptr | 835 3rd Ave, Suite A, Chula Vista, CA 91911-1352 |
| Find all physicians in zip 91911 | |||
| City | CHULA VISTA |
| Zip Code | 91911 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | CHULA VISTA + FAMILY MEDICINE |
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| 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.