Tracy Vandewater, MD

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

A186032 Issued in CA

Practice address

15611 Pomerado Rd Ste 400
Poway, CA 92064-2437

Phone

(858) 618-1191

NPI assigned

Mar 21, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Otolaryngology

Education

Medical College of Wisconsin, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arch Health Partners IncGroup PAC ID 9931239027, 141 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Palomar Medical Center Poway Hospital, Poway, CA, CCN 050636
• Palomar Health Downtown Campus Hospital, Escondido, CA, CCN 050115

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tracy.vandewater.p1@direct.arch.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Arch Health Partners, Inc

  dba Palomar Health Medical Group

  • Family Medicine Physician
  • Poway, CA
  • NPI 1649500141
  Medicare reassignment Care Compare group NPD
• Arch Health Partners

  dba Palomar Health Medical Group

  • Internal Medicine Physician
  • Escondido, CA
  • NPI 1295329787
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Palomar Health

  dba Palomar Medical Center Poway

  • General Acute Care Hospital
  • Poway, CA
  • NPI 1376513754
  Care Compare affiliation
• Palomar Health

  dba Palomar Medical Center Escondido

  • General Acute Care Hospital
  • Escondido, CA
  • NPI 1457321317
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1023512332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-485-7870",
            "fax_number": "858-485-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15611 POMERADO RD STE 400",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642437",
            "telephone_number": "858-618-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDEWATER",
        "first_name": "TRACY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-21",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "CA",
            "license": "A186032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesley Valencia
• Valeri Sacknoff D D S Inc (Pomerado Cosmetic Dentistry)
• Monserrat Valladares
• Valle Verde Pediatrics Medical Group
• Citlally Vallejo
• Neeta Varshney, M.D.
• Elizabeth Vaughn
• Catrina Vazquez
• Leslie Vazquez
• Raquelita Velasco

• Facial Plastic Surgery Physician in Poway, CA
• Providers in Poway, CA by specialty
• Facial Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.