MRS. MICAELA MARIN-TUCKER (NPI# 1922239953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922239953 |
| Entity Type | Individual |
| Full Name | MRS. MICAELA MARIN-TUCKER |
| Credential | PA-C |
| Practice Address |
12677 Hesperia Rd Suite 160 Victorville CA 92395-7735 |
| Practice Telephone | 7609555656 |
| Practice Fax Number | 7609556176 |
| Mailing Telephone | 7609555656 |
| Mailing Fax Number | 7609556176 |
| Enumeration Date | 2009-08-07 |
| Last Update Date | 2009-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15871 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12677 HESPERIA RD SUITE 160 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175490 | Joel Quijano Velasquez | Internal Medicine | 12677 Hesperia Rd, Suite 130, Victorville, CA 92395-7735 | 2005-06-24 |
| 1144831322 | Catherine Ezell | Nurse Practitioner | 12677 Hesperia Rd, Suite 170, Victorville, CA 92395-7754 | 2020-08-12 |
| 1164972865 | Jatin Mehta | Pharmacist | 12677 Hesperia Rd, Ste 180, Victorville, CA 92395-7735 | 2016-10-06 |
| 1184174732 | Mala Mehta | Pharmacist | 12677 Hesperia Rd, Suite 180, Victorville, CA 92395-7735 | 2016-10-06 |
| 1629493150 | Megan Reynolds | Nurse Practitioner | 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 | 2014-02-20 |
| 1548539653 | Rainilda P. Valencia, M.d., Inc. | Pediatrics | 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 | 2011-12-19 |
| 1114230398 | Elaine Elizabeth Miller | Nurse Practitioner | 12677 Hesperia Rd, Suite 170, Victorville, CA 92395-7735 | 2010-07-16 |
| 1790917680 | Neland Kisinger | Nurse Practitioner | 12677 Hesperia Rd, Suite 160, Victorville, CA 92395-7735 | 2009-08-11 |
| 1124141122 | Agnes G Quion | Internal Medicine | 12677 Hesperia Rd, Ste 120, Victorville, CA 92395-7735 | 2007-04-06 |
| 1013032762 | Deepika Saini | Pediatrics | 12677 Hesperia Rd, Victorville, CA 92395-7735 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972964401 | Oluyombo Ojo Ojebiyi | Physician Assistant | 16245 Desert Knoll Dr, Victorville, CA 92395-4011 | 2016-03-11 |
| 1609291327 | Charito Buna Reyes | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2014-03-04 |
| 1497170112 | Louis Seth Sterling Sr. | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2014-03-04 |
| 1619314903 | Jacqueline Gepulle | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2013-05-28 |
| 1376892521 | Kari Lynn Provost | Physician Assistant | 12595 Hesperia Rd Ste 101, Victorville, CA 92395 | 2012-09-04 |
| 1023302395 | Jose Roberto Esquetini | Physician Assistant | 13777 Air Expressway Blvd, Victorville, CA 92394-0510 | 2011-06-04 |
| 1346556263 | Steven James Sanders | Physician Assistant | 12550 Hesperia Road, Suite 100, Victorville, CA 92395-0000 | 2010-08-30 |
| 1841521366 | Christopher Michael Tran | Physician Assistant | 12408 Hesperia Rd, 2, Victorville, CA 92395-7718 | 2010-01-22 |
| 1942345947 | Daniel Leslie Pletsch | Physician Assistant | 14075 Hesperia Rd, Suite 207, Victorville, CA 92395-4500 | 2007-02-20 |
| 1891880811 | Beverly Diane Rauscher | Physician Assistant | 17290 Jasmine St, Suite 101, Victorville, CA 92395-7709 | 2006-10-04 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on MRS. MICAELA MARIN-TUCKER.
| 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.