Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PATEL & PULLIAM APMC
Active
Organization
PATEL & PULLIAM APMC
Active
Other names
Tracy Occupational Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGDISH AMBALAL PATEL M.D. (PRESIDENT)
(209) 832-8984
Entity
Organization
Contact information
Practice address
644 W 12TH ST, TRACY, CA 95376-3437
(209) 832-8984
(209) 832-8988
Mailing address
644 W 12TH ST, TRACY, CA 95376-3437
(209) 832-8984
(209) 832-8988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A7496
CA
207Q00000X
Family Medicine Physician
A31816
CA
207Q00000X
Family Medicine Physician
A855092
CA
207QS0010X
Sports Medicine (Family Medicine) Physician
20A7496
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A318160
—
CA
05
—
00A85126
—
CA
01
—
05D0695064903593
CLIA NUMBER
CA
01
—
20A7496
STATE LICENSE DR. PULLIAM
CA
01
—
A31816
STATE LICENSE DR. PATEL
CA
01
—
A855092
STATE LICENSE DR. HUBLI
CA
01
—
AP8331112
DR. PATEL BNDD NUMBER
CA
01
—
BH8637881
DR. HUBLI BNDD NUMBER
CA
01
—
BP4399944
DR. PULLIAM BNDD NUMBER
CA
Enumeration date
12/11/2006
Last updated
08/28/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers