Robert A Tracy, DO

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

2OA12632 Issued in CA

Practice address

3056 Fletcher Dr
Los Angeles, CA 90065-2207

Phone

(323) 256-2231

Fax

(323) 892-2571

NPI assigned

Jan 26, 2012

Sex

Male

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

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eden Hospice Care Inc Hospice, Los Angeles, CA, CCN 751575

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: robert.tracy@304615863025668.direct.elationemr.com
• Direct secure messaging: roberttracy@hcpca.allscriptsdirect.net

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.

• Robert Tracy DO, Inc

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1083005474
  Medicare reassignment NPD Authorized official
• Honey Medical Group Inc

  dba honey medical group

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1720970742
  Authorized official Same address or phone
• Anaheim Memorial Medical Center

  • General Acute Care Hospital
  • Anaheim, CA
  • NPI 1295782381
  NPD (past)
• Apollomed Care Clinic a Professional Corporation

  dba Fletcher Family Medical Clinic

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1750704250
  NPD (past)
• Dignity Community Care

  dba California Hospital Medical Center - Los Angeles

  • General Acute Care Hospital
  • Los Angeles, CA
  • NPI 1114081056
  NPD (past)
• Southern California Healthcare System, Inc

  dba Southern California Hospital at Hollywood, at Van Nuys, at Culver City

  • General Acute Care Hospital
  • Hollywood, CA
  • NPI 1023010113
  NPD (past)

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

• Eden Hospice Care,Inc

  • Community Based Hospice Care Agency
  • Diamond Bar, CA
  • NPI 1942562798
  Care Compare affiliation

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

{
    "created_epoch": "1327536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461369600000",
    "number": "1316219058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3056 FLETCHER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652207",
            "telephone_number": "323-256-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3056 FLETCHER DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900652207",
            "telephone_number": "323-256-2231",
            "fax_number": "323-892-2571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-01-26",
        "last_updated": "2016-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "2OA12632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Chang MD Inc
• Tracy Tran Physical Therapy
• Micaela M Tracy, RN
• Myrtis Jean Tracy, M.S.,R.D
• Nancy Jo Tracy, SLP
• Shannon Tracy
• David W Trader, M.D.
• Traditional Chinese Medicine Healing Center (TCM Healing Center)
• Mara Trafficante, MS, CCC-SLP
• Jody M. Trager, PH.D.

• Adult Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2016; 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.