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:
Authorized official contact:
Name: Patel, Jagdish Ambalal Doctor of Medicine (MD)
Phone: (209) 832-8984
Health care specialties
Specialty | Code | License # | 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 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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