DR. JALIA TUCKER (NPI# 1073040937) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073040937 |
| Entity Type | Individual |
| Full Name | DR. JALIA TUCKER |
| Credential | MD |
| Practice Address |
122 E San Antonio Dr King City CA 93930-2518 |
| Mailing Address |
440 Airport Blvd Salinas CA 93905-3302 |
| Practice Telephone | 8313855944 |
| Mailing Telephone | 8317570434 |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 169992 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
122 E SAN ANTONIO DR |
| City | KING CITY |
| State | CA |
| Zip Code | 93930-2518 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588165351 | Mirella Mendoza | Nurse Practitioner | 122 E San Antonio Dr, King City, CA 93930 | 2018-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841841202 | Carl Jorgensen | Pharmacist | Riteaid, 540 Canal Street, King City, CA 93930 | 2019-09-26 |
| 1750780284 | Kayla Noon | Counselor | 200 Broadway St., Suite 70, King City, CA 93930 | 2014-08-20 |
| 1831323906 | Tawfiq Imam | Pharmacist | 540 Canal St, Rite Aid Pharmacy #5880, King City, CA 93930 | 2009-05-05 |
| 1437510641 | Christina Sandoval | Counselor | 200 Broadway St, 70, King City, CA 93930 | 2016-03-15 |
| 1376920850 | Celia Trujillo | Counselor | 200 Broadway St, King City, CA 93930 | 2015-05-04 |
| 1497152078 | Nguyen Pham | Internal Medicine | 300 Canal St, King City, CA 93930 | 2014-11-26 |
| 1104171925 | Hassan Jadid | Internal Medicine | 300 Canal St, King City, CA 93930 | 2012-07-18 |
| 1821227422 | Jovanna M Velazquez | Technician, Other | 200 Broadway, Suite 88, King City, CA 93930 | 2009-07-06 |
| 1598961161 | Diane Lynn Hardy | Marriage & Family Therapist | 522 Broadway St, Suite D, King City, CA 93930 | 2007-06-21 |
| 1700901865 | James Francis Matthews | Pharmacist | 425 Broadway, King City, CA 93930 | 2007-03-20 |
| Find all providers in zip 93930 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538171400 | Christina M. Zaro | Family Medicine | 400 Canal St, Suite B, King City, CA 93930-3458 | 2006-08-12 |
| 1629022603 | Dat Duc Tran | Family Medicine | 11820 Sw King James Pl, Suite 30, King City, OR 97224-2480 | 2006-05-22 |
| 1407254477 | County of Monterey | Family Medicine | 200 Broadway St, Suite 70, King City, CA 93930-2865 | 2014-12-08 |
| 1407115983 | Oscar Leonardo Cook | Family Medicine | 1180 Broadway St, King City, CA 93930-3602 | 2012-05-03 |
| 1922316082 | Elizabeth Joy Mccraven | Family Medicine | 300 Canal St, King City, CA 93930-3431 | 2010-09-22 |
| 1265695878 | Lisa Norlander | Family Medicine | 300 Canal St, King City, CA 93930-3431 | 2008-07-03 |
| 1831350958 | Camelia Cristina Wogu | Family Medicine | 300 Canal St, King City, CA 93930-3431 | 2008-06-20 |
| 1376743328 | Khuong Cun Phui | Family Medicine | 300 Canal St, King City, CA 93930-3431 | 2007-07-18 |
| 1790806842 | Northwest Health Services, Inc | Family Medicine | 305 Rhode Island, King City, MO 64463 | 2007-04-03 |
| 1407925860 | Brunel Bredy | Family Medicine | 122 San Antonio Drive, King City, CA 93930-2942 | 2006-11-07 |
| Find all providers in KING CITY | ||||
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| 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.