Active NPI
Tracy Chan
- Optometrist
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 15083
- Practice address
- 4860 Y St
Sacramento, CA 95817-2307 - Phone
- (916) 734-6602
- NPI assigned
- Aug 8, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 15083 | CA | Primary |
Addresses
Primary practice location
4860 Y St
Sacramento, CA 95817-2307
Mailing address
4860 Y St
Sacramento, CA 95817-2307
Phone (916) 734-6602
Medicare participation
Medicare enrollment files- 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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern California College of Optometry, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14264 Innovation Dr
Folsom, CA 95630-4099
Phone (916) 985-9300
2400 Del Paso Rd
Suite 145
Sacramento, CA 95834-9629
Phone (916) 928-3940
271 Turnpike Dr
Folsom, CA 95630-8098
Phone (916) 985-9200
4860 Y St
Sacramento, CA 95817-2307
8120 Timberlake Way
Suite 211
Sacramento, CA 95823-5414
Phone (916) 423-2134
Hospital & facility affiliations
- University of California Davis Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15083 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| First Optometric Care of Northern California PC | Optometrist | Current | Accepting new patients |
| Paris E. Royo, MD Inc | Past | Accepting new patients |
Locations
11733 Fair Oaks Blvd
Fair Oaks, CA 95628
Phone (916) 966-6080
3333 Quality Dr
Rncho Cordova, CA 95670
Phone (704) 712-0564
5777 Greenback Ln
Ste 100
Sacramento, CA 95841
Phone (916) 231-0034
Interoperability endpoints
- tchan303091@hisp.ehr.sutterhealth.org
Organizations & group practices 6
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.
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1801139175
-
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Optometrist
- Rancho Cordova, CA
- NPI 1154972404
-
- Optometrist
- Fair Oaks, CA
- NPI 1295320778
-
- Optometrist
- San Jose, CA
- NPI 1487537452
-
- Ophthalmology Physician
- Sacramento, CA
- NPI 1689755498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778198400000",
"number": "1992114565",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-6602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHAN",
"first_name": "TRACY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-08",
"last_updated": "2026-05-08",
"certification_date": "2026-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "15083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 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.