Active NPI
Tracy V Dau, PA
- Physician Assistant
- Santa Ana, CA
National Provider Identifier
1104855105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00066100
- Practice address
- 210 N Tustin Ave
Santa Ana, CA 92705-3807 - Phone
- (888) 959-5192
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00066100 | NJ | Primary |
Addresses
Primary practice location
210 N Tustin Ave
Santa Ana, CA 92705-3807
Mailing address
PO Box 13700-3765
Philadelphia, PA 19191-3765
Phone (610) 668-6471
Other names 1
- Tracy Vogel
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teaneck Emergency Physicians PA | Past | Accepting new patients | |
| Mid-Atlantic Surgical Assoc. | Past | Accepting new patients | |
| Mid-Atlantic Surgical Associates | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Mission Viejo, CA
- NPI 1073542916
-
- Emergency Medicine Physician
- Laguna Beach, CA
- NPI 1134355597
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Morristown, NJ
- NPI 1619977741
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Neptune, NJ
- NPI 1023000130
-
- Emergency Medicine Physician
- Teaneck, PA
- NPI 1972569606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722384000000",
"number": "1104855105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13700-3765",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191913765",
"telephone_number": "610-668-6471",
"fax_number": "610-617-6280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 N TUSTIN AVE",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927053807",
"telephone_number": "888-959-5192"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAU",
"first_name": "TRACY",
"middle_name": "V",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2024-07-31",
"certification_date": "2024-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00066100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TRACY",
"last_name": "VOGEL",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.