Jaclyn Ballin Tracy

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

59670 Issued in CA

Practice address

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832

Phone

(925) 837-6000

NPI assigned

Jul 12, 2021

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hayes B Gladstone MD PCGroup PAC ID 4587987474, 6 clinicians

Practice addresses (Care Compare)

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.

• Hayes B. Gladstone, MD, PC.

  • Dermatology Physician
  • Danville, CA
  • NPI 1376947978
  Medicare reassignment Care Compare group
• Hayes B. Gladstone, MD, PC.

  • Medical Specialty Clinic/Center
  • Danville, CA
  • NPI 1447028063
  NPD (past)

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1598337487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-837-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3860 BLACKHAWK RD STE 140",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945064832",
            "telephone_number": "925-837-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACY",
        "first_name": "JACLYN",
        "middle_name": "BALLIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-12",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "59670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Leung MD Incorporated
• Erika Tiu, BCBA
• TMS Interventions and Clinical Specialties Inc.
• Todd M Yonemura DDS, Apc
• Dorothy Ann Torrre, MS, PH.D
• Danielle N Tran, PHARM. D.
• Diem T Tran
• Todd Conan Trowbridge
• Melissa Tuell, MOT, OTR/L
• Carrie Turner

• Dermatology Physician in Danville, CA
• Providers in Danville, CA by specialty
• Dermatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2026; 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.