Tracy Occupational Medical Center

LBN: Premier Urgent Care A Professional Medical Corporation
Tracy Occupational Medical Center is an health care organization with primary practice located at 644 W 12Th St , Tracy CA 95376-3437. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Premier Urgent Care A Professional Medical Corporation can be contacted via phone (209) 832-8984, or through Patel, Jagdish Ambalal via phone (209) 832-8984.

Contact Information

Primary practice address
644 W 12Th St Tracy CA 95376-3437
Phone: (209) 832-8984
Fax: (209) 832-8988
Website:
Map and Directions
Authorized official contact:
Name: Patel, Jagdish Ambalal Doctor of Medicine (MD)
Phone: (209) 832-8984

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A31816 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A855092 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7496 California
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A7496 California

Profile Details

NPI number 1568522878
LBN Legal business name Premier Urgent Care A Professional Medical Corporation
DBA Doing business as Tracy Occupational Medical Center
Authorized official Patel, Jagdish Ambalal Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2006
Last updated Oct 19th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568522878 NPPES
California Other 20A7496 STATE LICENSE DR. PULLIAM
California Other BH8637881 STATE LICENSE DR. PULLIAM
California Other A31816 STATE LICENSE DR. PULLIAM
California MEDICAID 00A85126 STATE LICENSE DR. PULLIAM
California Other BP4399944 STATE LICENSE DR. PULLIAM
California Other A855092 STATE LICENSE DR. PULLIAM
California Other AP8331112 STATE LICENSE DR. PULLIAM
California MEDICAID 00A318160 STATE LICENSE DR. PULLIAM
California Other 05D0695064903593 STATE LICENSE DR. PULLIAM
California Other AP8331112 STATE LICENSE DR. PULLIAM

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