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

Jaclyn Ballin Tracy

Individual provider Dermatology Physician · NPI 1598337487

Jaclyn Ballin Tracy is a Physician Assistant in Danville, California. Qualified in 2021, 5 years ago. Practices with Hayes B Gladstone MD PC, a 6-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2021

Practice location Address checks out

3860 Blackhawk Rd Ste 140
Danville, CA 94506-4832
Phone: (925) 837-6000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 59670 (CA)

Record details

NPI number1598337487
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 12, 2021
Last updated in NPPESJanuary 8, 2026
Certification dateJanuary 8, 2026
Mailing address3860 Blackhawk Rd Ste 140, Danville, CA 94506-4832

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hayes B Gladstone Md Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Danville