OrganizationActive
Gautami Agastya, MD., Inc.
NPI 1659540870 · Preventive Medicine/Occupational Environmental Medicine Physician · Tracy, CA
Provider details
- NPI number
- 1659540870
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Gautami Agastya, President(209) 833-7555
- License
- C51385 (CA)
Specialties & taxonomies
- Preventive Medicine/Occupational Environmental Medicine PhysicianPrimary2083P0500XLicense A85126 (CA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
652 W 11th St
Suite 137
Tracy, CA 95376-3869
Phone: (209) 833-7555
Fax: (209) 833-7518
Approximate (ZIP-level) locationGet directions
Mailing address
652 W 11th St
Tracy, CA 95376-3869
Registry dates
- Enumerated
- 2008-02-21
- Last updated
- 2013-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.