DR. HEATHER JENE TRACY MD NPI 1235101502

NPI Information

  • NPI: 1235101502
  • Provider Name: DR. HEATHER JENE TRACY, MD
  • Classification: Internal Medicine - 207RH0003X
  • Specialization: Hematology & Oncology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3075 HEALTH CENTER DR STE 102
    SAN DIEGO, CA
    ZIP 92123
  • Phone: (858) 637-7888

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NPI Details

DR. Heather Jene Tracy, MD is a hematology and oncology internal medicine in San Diego, CA with 22 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. DR. Heather Jene Tracy, MD NPI is 1235101502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN SHREVEPORT
Graduation Year:2003

The provider's business location address is:

3075 HEALTH CENTER DR STE 102
SAN DIEGO, CA
ZIP 92123-773
Phone: (858) 637-7888
Fax: (858) 637-7887

The NPI 1235101502 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/2/2006 and was last updated on 9/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RH0000XInternal MedicineHematologyA95980CALIFORNIANo
2207RX0202XInternal MedicineMedical OncologyA95980CALIFORNIANo
3207RH0003XInternal MedicineHematology & OncologyA95980CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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