Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Deepthy Damien, MD

Individual provider Family Medicine Physician · NPI 1811222391

Dr. Deepthy Damien, MD is a Family Practice in Tracy, California. Qualified in 2004, 22 years ago. Practices with Community Medical Centers, Inc, a 48-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Licensed in
CA
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

730 N Central Ave
Tracy, CA 95376-4104
Phone: (209) 820-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A109507 (CA)

Record details

NPI number1811222391
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2009
Last updated in NPPESFebruary 22, 2012
Mailing addressPo Box 779, Stockton, CA 95201-0779

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Community Medical Centers, Inc. — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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