| Tracy Urgent Care, Inc | |
|
2160 W Grant Line Rd Ste.230 Tracy CA 95377-7330 | |
| (209) 832-8700 | |
| (209) 832-2210 |
| Full Name | Tracy Urgent Care, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2160 W Grant Line Rd, Tracy, California |
| Authorized Official Name and Position | Usman Ali (OFFICER) |
| Authorized Official Contact | 2098328700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tracy Urgent Care, Inc 2160 W Grant Line Rd Ste 230 Tracy CA 95377-7334 Ph: (209) 832-8700 | Tracy Urgent Care, Inc 2160 W Grant Line Rd Ste.230 Tracy CA 95377-7330 Ph: (209) 832-8700 |
| NPI Number | 1265453872 |
|---|---|
| Provider Enumeration Date | 07/21/2006 |
| Last Update Date | 05/14/2020 |
| Medicare PECOS PAC ID | 3072556034 |
|---|---|
| Medicare Enrollment ID | O20050609001118 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265453872 | NPI | - | NPPES |
| GR0089170 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mohsen Saadat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356362958 PECOS PAC ID: 1153360086 Enrollment ID: I20050428001286 |
| Provider Name | Usman Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154355832 PECOS PAC ID: 6204879208 Enrollment ID: I20050609000637 |
| Provider Name | Kanwardeep Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205854833 PECOS PAC ID: 0840370425 Enrollment ID: I20080108000950 |
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