Active NPI
Tracy A Thompson, MD
- Internal Medicine Physician
- Dublin, CA
National Provider Identifier
1821076258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G52019
- Practice address
- 4050 Dublin Blvd.
Dublin, CA 94568-3112 - Phone
- (925) 875-6100
- NPI assigned
- Jan 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G52019 | CA | Primary |
| Pain Medicine Physician | 208VP0000X | G52019 | CA |
Addresses
Primary practice location
4050 Dublin Blvd.
Dublin, CA 94568-3112
Mailing address
2350 W. El Camino Real
2ND Floor
Mountain View, CA 94040-6203
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G520190 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G52019 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-Valley Orthopedic and Sports Medical Group Inc | Past | Accepting new patients | |
| Tri-Valley Orthopedic and Sports Medical Group Inc | Past | Accepting new patients | |
| Tassajara Valley Medical Group PC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 3
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.
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-
- Orthopaedic Surgery Physician
- Pleasanton, CA
- NPI 1184808156
-
- Orthopaedic Surgery Physician
- San Ramon, CA
- NPI 1801883731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328054400000",
"number": "1821076258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2350 W. EL CAMINO REAL",
"address_2": "2ND FLOOR",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940406203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4050 DUBLIN BLVD.",
"city": "DUBLIN",
"state": "CA",
"postal_code": "945683112",
"telephone_number": "925-875-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "TRACY",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-05",
"last_updated": "2012-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G52019",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "CA",
"license": "G52019",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G520190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.