NPIMap

Individual provider Active NPI

Tabish Jalal

  • Internal Medicine Physician
  • Tracy, CA
National Provider Identifier
1275844375
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301097439 Issued in MI
Practice address
445 W Eaton Ave
Tracy, CA 95376-3420
Phone
(209) 833-2367
NPI assigned
Jun 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301097439 MI Primary

Addresses

Primary practice location

445 W Eaton Ave
Tracy, CA 95376-3420

Mailing address

PO Box 255228
Sacramento, CA 95865-5228
Phone (855) 771-0335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150307000011 CA Practitioner - Internal Medicine 6305098864 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hospitalists of Modesto Medical Group IncGroup PAC ID 2567360027, 87 clinicians
Quantum Bay Area Hospitalist Medical Group IncGroup PAC ID 0648573378, 60 clinicians
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1205 E N St
Manteca, CA 95336-4932
Phone (209) 576-3525

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

  • Community Hospice, Inc - Hospice Hospice, Modesto, CA, CCN 051543
  • El Camino Health Hospital, Mountain View, CA, CCN 050308
  • Doctors Medical Center Hospital, Modesto, CA, CCN 050464
  • Sutter Tracy Community Hospital Hospital, Tracy, CA, CCN 050313
  • Emanuel Medical Center Hospital, Turlock, CA, CCN 050179
  • Adventist Health Sonora Hospital, Sonora, CA, CCN 050335

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
133937CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Oct 25, 2023 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Mar 19, 2020 Accepting new patients
Sutter Valley Medical Foundation Internal Medicine CurrentSince Mar 19, 2020 Accepting new patients
Hospitalists of Modesto Medical Group Inc Internal Medicine CurrentSince Jan 10, 2015 Accepting new patients
Mercy Memorial Hospital Corporation Past Accepting new patients
Sinai Hospital of Greater Detroit Past Accepting new patients
St Mary Mercy Hospital Past Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Hospitalists of Modesto Medical Group Past Accepting new patients
Sinai Hospital of Greater Detroit Past Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients

Locations

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

445 W Eaton Ave
Tracy, CA 95376
Phone (209) 830-4062

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Interoperability endpoints

  • Direct secure messaging: tjalal346750@hisp.ehr.sutterhealth.org

Organizations & group practices 11

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1275844375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 255228",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958655228",
            "telephone_number": "855-771-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 W EATON AVE",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "953763420",
            "telephone_number": "209-833-2367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JALAL",
        "first_name": "TABISH",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-23",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301097439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

Verify at the official NPI Registry.