Organization Active NPI

Tracy Outpatient Surgery Center

  • Endoscopy Clinic/Center
  • Tracy, CA
National Provider Identifier
1720044605
Registry record updated Oct 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endoscopy Clinic/CenterTaxonomy code 261QE0800X
License
CA030001797 Issued in CA
Legal business name
TRACY OUTPATIENT SURGERY CENTER
Practice address
530 W Eaton Ave Ste P
Tracy, CA 95376
Phone
(209) 833-8797
Fax
(209) 835-3246
NPI assigned
Apr 21, 2006
Last updated
Oct 5, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2010

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

Authorized official

Name
Harpreet S Grewal, M.D.NPI 1700842697
Title
Medical Director
Phone
(209) 833-8797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA030001797 CA
Endoscopy Clinic/Center 261QE0800X CA030001797 CA Primary

Addresses

Primary practice location

530 W Eaton Ave Ste P
Tracy, CA 95376

Mailing address

530 W Eaton Ave Ste P
Tracy, CA 95376
Phone (209) 833-8797

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1086549Tracy Outpatient Surgery Center530 W Eaton Avenue, Suite P, Tracy, CA 95376Certificate of waiverJul 14, 2026

National Provider Directory

National Provider Directory

Locations

530 W Eaton Ave
Ste P
Tracy, CA 95376
Phone (209) 833-8797

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286236800000",
    "number": "1720044605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE STE P",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-833-8797",
            "fax_number": "209-835-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 W EATON AVE STE P",
            "city": "TRACY",
            "state": "CA",
            "postal_code": "95376",
            "telephone_number": "209-833-8797",
            "fax_number": "209-835-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACY OUTPATIENT SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-21",
        "last_updated": "2010-10-05",
        "status": "A",
        "authorized_official_last_name": "GREWAL",
        "authorized_official_first_name": "HARPREET",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "209-833-8797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "CA030001797",
            "primary": false
        },
        {
            "code": "261QE0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Endoscopy",
            "state": "CA",
            "license": "CA030001797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tracy, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.