Tracy Ha, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

63236 Issued in CA

Practice address

1315 Fair Oaks Ave Ste 103
South Pasadena, CA 91030-3868

Phone

(626) 799-8068

NPI assigned

May 7, 2014

Last updated

Dec 10, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Kenneth K. Chan, DDS, a Professional Corporation

  dba Healthy Smile Family Dentistry

  • Dental Clinic/Center
  • South Pasadena, CA
  • NPI 1043406853
  NPD (past)

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639094400000",
    "number": "1275943672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 FAIR OAKS AVE STE 103",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303868",
            "telephone_number": "626-799-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 FAIR OAKS AVE STE 103",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910303868",
            "telephone_number": "626-799-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "TRACY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-07",
        "last_updated": "2021-12-10",
        "certification_date": "2021-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "63236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaunda Guy, AMFT120050
• Kristine Elizabeth Guzman-Hernandez
• Angel Guzman
• Bianca Guzman
• Jennifer Guzman
• Loreen K. Haddad, PA-C
• Pamela Ann Haddad, LMFT
• Haddy Liu Chiropractic Inc.
• Heather Ruth Halpern
• Andrea Hanken

• General Practice Dentistry in South Pasadena, CA
• Providers in South Pasadena, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2021; 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.

Verify at the official NPI Registry.