Organization Active NPI

Tracy Urgent Care, Inc

  • Internal Medicine Physician
  • Tracy, CA
National Provider Identifier
1265453872
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRACY URGENT CARE, INC
Practice address
2160 W Grant Line Rd
Ste.230
Tracy, CA 95377-7330
Phone
(209) 832-8700
Fax
(209) 832-2210
NPI assigned
Jul 21, 2006
Last updated
May 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Authorized official

Name
Dr. Usman Ali, M.D.NPI 1154355832
Title
Officer
Phone
(209) 832-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2160 W Grant Line Rd
Ste.230
Tracy, CA 95377-7330

Mailing address

2160 W Grant Line Rd Ste 230
Tracy, CA 95377-7334
Phone (209) 832-8700

Other identifiers 1

IdentifierTypeStateIssuer
GR0089170MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050609001118 CA Part B Supplier - Clinic/Group Practice 3072556034 Receives reassigned benefits from 3 practitioners
Practice locations: Tracy, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0982443Tracy Urgent Care Medical Clinic Inc2160 W Grant Line Rd Ste 230, Tracy, CA 95377Certificate of waiverOct 8, 2026

National Provider Directory

National Provider Directory

Locations

2160 W Grant Line Rd
Ste 230
Tracy, CA 95377
Phone (209) 832-8700

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589414400000",
    "number": "1265453872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD STE 230",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777334",
            "telephone_number": "209-832-8700",
            "fax_number": "209-832-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 W GRANT LINE RD",
            "address_2": "STE.230",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953777330",
            "telephone_number": "209-832-8700",
            "fax_number": "209-832-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "USMAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "209-832-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0089170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.