Tracy Antointte Sheen, P.A.-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA13779 Issued in CA

Practice address

9700 De Soto Ave
Chatsworth, CA 91311-4409

Phone

(818) 882-8100

NPI assigned

Dec 4, 2006

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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 and National Provider Directory roles.

• American Current Care of California, a Medical Corporation

  dba Concentra Urgent Care

  • Urgent Care Clinic/Center
  • Saugus, CA
  • NPI 1073089447
  NPD (past)

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407914344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30404 SEQUOIA CT",
            "city": "CASTAIC",
            "state": "CA",
            "postal_code": "913843741",
            "telephone_number": "661-775-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 DE SOTO AVE",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913114409",
            "telephone_number": "818-882-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEEN",
        "first_name": "TRACY",
        "middle_name": "ANTOINTTE",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA13779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gurdeep K Sethi, NURSE PRACTITIONER
• Naglat Zaky Sewilam, PHARMACIST
• Kevork Shahe Shahinian, PHARM.D.
• Nelly Sharpe
• Vanessa Natalie Shaverdan
• Niloofar Sheikhan
• Gerald Siazon, PHARM D
• Anna Lei Sidorchuk, LMFT
• Lourdes Simons
• Gagandeep Singh

• Surgical Physician Assistant in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Surgical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.