DOUGLASS W TUCKER


Address: 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322
Phone: 3234425860

DOUGLASS W TUCKER (NPI# 1275165037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275165037
Entity Type Individual
Full Name DOUGLASS W TUCKER
Practice Address 1520 San Pablo St Ste 2000
Los Angeles
CA 90033-5322
Mailing Address 420 Terrace Dr
San Jose
CA 95112-1753
Practice Telephone 3234425860
Mailing Telephone 4087684900
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 1520 SAN PABLO ST STE 2000
City LOS ANGELES
State CA
Zip Code 90033-5322

Providers in the same location

NPI Name Taxonomy Address Enumeration
1457399784 Paul Keith Gilbert Orthopaedic Surgery 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2006-06-02
1134688005 Haley L Nakata Student in an Organized Health Care Education/Training Program 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2019-03-19
1588167415 Kevin Collon Student in an Organized Health Care Education/Training Program 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2018-03-16
1942741608 Hugo Centomo Orthopaedic Surgery 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2017-03-14
1114376829 Stephanie Ann Morgan Flores Physician Assistant 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2016-06-03
1689059420 Jacob Tyler Bobman Orthopaedic Surgery 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2015-07-22
1386031201 Eric Sun Physical Medicine & Rehabilitation 1520 San Pablo St Ste 2000, Los Angeles, CA 90033 2015-04-17
1881080281 Michael Collins Orthopaedic Surgery 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2015-04-13
1730575010 Michael Thomas Jung Orthopaedic Surgery 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2015-04-13
1316337819 Brian K Hong Podiatrist 1520 San Pablo St Ste 2000, Los Angeles, CA 90033-5322 2015-02-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376165050 Noa Yee Student in an Organized Health Care Education/Training Program 1200 N. State Street, Gnh 1011, Los Angeles, CA 90033 2020-05-15
1629690144 Monica Lopez Respiratory Therapist, Registered 1251 Marengo St, Los Angeles, CA 90033 2020-05-07
1649890401 Antonio Hernandez Saenz Student in an Organized Health Care Education/Training Program 1200 N. State Street Gnh 1060k, Los Angeles, CA 90033 2020-04-22
1417585100 Kelsey Grace Shea Student in an Organized Health Care Education/Training Program 1200 N State St Ird 112, Los Angeles, CA 90033 2020-03-30
1891322780 Carolyn Kan Student in an Organized Health Care Education/Training Program 1200 North State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033 2020-03-23
1902445786 Maury M Hopkins Registered Nurse 1883 Marengo Street, Los Angeles, CA 90033 2019-12-27
1982259792 Beverly Austin Mccabe Registered Nurse 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 2019-08-08
1093369399 Christine Yoon Pharmacist 1611 E Cesar Chavez Ave, Los Angeles, CA 90033 2019-07-25
1073075339 Johanna Keller Student in an Organized Health Care Education/Training Program La County +usc Medical Center, 2051 Marengo Street, Los Angeles, CA 90033 2019-04-04
1386115137 Sonya Lorain Earley Physician Assistant 2020 Zonal Avenue, Ird 626, Los Angeles, CA 90033 2018-12-05
Find all providers in zip 90033

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164020657 Corinne Elizabeth Zachry Student in an Organized Health Care Education/Training Program 1149 S Hill St # H375, Los Angeles, CA 90015-2212 2020-10-15
1750989588 Jasmine Carpenter Student in an Organized Health Care Education/Training Program 4920 S Avalon Blvd, Los Angeles, CA 90011-4004 2020-10-14
1801401062 Rachel Brenner Student in an Organized Health Care Education/Training Program 3787 S Vermont Ave Apt 2, Los Angeles, CA 90007-4203 2020-09-14
1326653593 Lamia Binhuwaishel Student in an Organized Health Care Education/Training Program 4650 Sunset Blvd, Craniofacial and Special Needs Ortho, Los Angeles, CA 90027 2020-09-14
1154936565 Samrah Shaheer Abbasi Student in an Organized Health Care Education/Training Program 3022 Oakhurst Ave, Los Angeles, CA 90034-2856 2020-09-11
1568077071 Amber Mottola Student in an Organized Health Care Education/Training Program 550 N Figueroa St Apt 4084, Los Angeles, CA 90012-3389 2020-09-11
1760096937 Elizabeth Idema Student in an Organized Health Care Education/Training Program 1559 N Commonwealth Ave, Los Angeles, CA 90027-5513 2020-09-03
1053924225 Deanna Sharon Lin Student in an Organized Health Care Education/Training Program 520 So Lafayette Park Place, 3rd Floor, Los Angeles, CA 90057-5400 2020-08-28
1003429762 Kendra Knudsen Student in an Organized Health Care Education/Training Program 611 Levering Ave Apt 3, Los Angeles, CA 90024-2325 2020-08-24
1750993515 Deena Basilious Student in an Organized Health Care Education/Training Program 1403 S Union Ave, Los Angeles, CA 90015-3205 2020-08-21
Find all providers in LOS ANGELES

Competitor

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City LOS ANGELES
Zip Code 90033

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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