OrganizationActive
Advanced Imaging of Tracy LLC
NPI 1275523151 · Diagnostic Radiology Physician · Tracy, CA
Provider details
- NPI number
- 1275523151
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Terri Rondowanski, Credentialing Specialist(209) 342-2300
- License
- 69105 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1530 Bessie Ave
Suite 108
Tracy, CA 95376-3080
Phone: (209) 342-2300
Fax: (209) 524-4240
Approximate (ZIP-level) locationGet directions
Mailing address
4301 Northstar Way
Modesto, CA 95356-9262
Registry dates
- Enumerated
- 2005-10-24
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.