DR. KEVIN TUCKER (NPI# 1346629755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346629755 |
| Entity Type | Individual |
| Full Name | DR. KEVIN TUCKER |
| Credential | D.O. |
| Practice Address |
18 County Center Dr Oroville CA 95965-3335 |
| Mailing Address |
13019 Ptarmigan Gate Road Draper UT 84020 |
| Practice Telephone | 5305387705 |
| Mailing Telephone | 8014009214 |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2020-10-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
11137175-1204 | UT | Allopathic & Osteopathic Physicians |
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
17234 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12669 Encinitas Ave, Sylmar, CA 913423635 | 8335742273 | |
| 13651 Willard Street, Panorama City, CA 91402 | 8007008705 | |
| 27107 Tourney Rd, Santa Clarita, CA 913551860 | 8335742273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285662973 | Kevin Lee Tucker | Chiropractor | 320 Nw Woods Chapel Rd, A, Blue Springs, MO 64015-3282 | 2006-06-29 |
| 1386259307 | Kevin T Tucker | Physical Therapist | 881 New Harwinton Rd, Torrington, CT 06790-5948 | 2020-09-15 |
| 1679039838 | Kevin Malcolm Tucker | Peer Specialist | 1 Mustard St, Rochester, NY 14609-6980 | 2019-02-13 |
| 1629315916 | Kevin Tucker | Counselor | 5755 Northpoint Pkwy, Suite 256, Alpharetta, GA 30022-1142 | 2013-01-07 |
| 1295809036 | Kevin P. Tucker | Internal Medicine | 2901 W Kinnickinnic River Pkwy Ste 413, Milwaukee, WI 53215-3660 | 2006-11-20 |
| Street Address |
18 COUNTY CENTER DR |
| City | OROVILLE |
| State | CA |
| Zip Code | 95965-3335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982779351 | Michael Thomas Schultz | Marriage & Family Therapist | 18 County Center Dr, Oroville, CA 95965-3335 | 2006-11-21 |
| 1992347884 | Lynze Nicole Thornburg | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2019-10-11 |
| 1609422518 | John James Dominguez | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2019-08-15 |
| 1477106359 | Christina Newman | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2019-07-19 |
| 1942764055 | Fue Yang | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2019-01-23 |
| 1598266702 | Heidi Ann Crouch | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2018-02-22 |
| 1902306327 | Marisa Jean Miller | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2018-02-13 |
| 1497265144 | Marisela Gutierrez Soria | Social Worker | 18 County Center Dr, Oroville, CA 95965-3335 | 2017-10-09 |
| 1033635586 | Joseph Thomas Flicker | Social Worker | 18 County Center Dr, Oroville, CA 95965-3335 | 2017-08-16 |
| 1699201103 | Dulce Delgadillo Santisteban | Counselor | 18 County Center Dr, Oroville, CA 95965-3335 | 2017-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414857 | Micah Ahazie | Pharmacist | 850 Oroville Dam Blvd E, Oroville, CA 95965 | 2019-05-31 |
| 1881147858 | Dillard Tudor | Case Manager/Care Coordinator | 42 County Center Dr., Oroville, CA 95965 | 2016-07-26 |
| 1194152249 | Lundberg Sleep Studies | Clinic/Center | 1940 Feather River Blvd., Suite #o, Oroville, CA 95965 | 2013-10-03 |
| 1174958573 | Hope Elizabeth Kilby | Counselor | 88 Table Mountian Blvd, Oroville, CA 95965 | 2013-09-05 |
| 1386946432 | County of Butte | Community/Behavioral Health | 2131 & 2167 Montgomery St, Oroville, CA 95965 | 2010-11-23 |
| 1932332400 | Roy Dale Hutchinson | Counselor | 2735 Oro Dam Blvd., Apt. B-2, Oroville, CA 95965 | 2009-08-31 |
| 1437390697 | Sarah Flora Wilson | Marriage & Family Therapist | 1331 Downer St., Chico, CA 95965 | 2009-03-18 |
| 1922158930 | Anthony Allen Hobson | Psychologist | 2959 Lower Wyonclotte Rd, Oroville, CA 95965 | 2007-01-11 |
| 1750449096 | Catherine Ann Sparrow | Rehabilitation Counselor | 865 Mitchell Avenue, Oroville, CA 95965 | 2006-12-05 |
| 1851467591 | Sheila Dawn Olson | Rehabilitation Counselor | 2430 Bird Street, Oroville, CA 95965 | 2006-11-27 |
| Find all providers in zip 95965 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588701726 | Thomas Buckley | Psychiatry & Neurology | 18 County Center Dr, Oroville, CA 95965-3317 | 2007-01-30 |
| 1013081884 | Arnaldo B Solis | Psychiatry & Neurology | 2145 5th Avenue, Oroville, CA 95965 | 2006-11-20 |
| 1235203597 | Donna Schindler | Psychiatry & Neurology | 2145 5th Avenue, Oroville, CA 95965 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750982054 | Joseph Ashimedua Modestus | Psychiatry & Neurology | 22433 South Vermont Ave, Apt 412, Torrance, CA 90502-9050 | 2020-11-03 |
| 1659970333 | Flatow Medical Corporation | Psychiatry & Neurology | 4840 Mindora Dr, Torrance, CA 90505-2140 | 2020-10-22 |
| 1053910158 | Open Mind Mental Health Inc | Psychiatry & Neurology | 5241 Alzeda Dr, La Mesa, CA 91941-5726 | 2020-10-20 |
| 1831705383 | Joel A Badeaux, Md, A Professional Corp | Psychiatry & Neurology | 2135 Park Dr, Los Angeles, CA 90026-1919 | 2020-09-21 |
| 1730794223 | Margarita Alonso Md LLC | Psychiatry & Neurology | 4401 Manchester Ave Ste 101, Encinitas, CA 92024-4938 | 2020-09-10 |
| 1760095673 | Dana Np: Advanced Practice Psychiatric Nursing, Inc. | Psychiatry & Neurology | 9801 Olympic Dr, Huntington Beach, CA 92646-4848 | 2020-08-29 |
| 1730792102 | Oladapo Tomori | Psychiatry & Neurology | Ginger, 116 New Montgomery Street, Suite 500, San Francisco, CA 94105 | 2020-08-26 |
| 1326658204 | Michael Martyna | Psychiatry & Neurology | 401 Quarry Road, Room 2208, Stanford Neuropsychiatry Fellowship Program Department, Stanford, CA 94305-5723 | 2020-08-05 |
| 1568072767 | Capitol City Psychiatry | Psychiatry & Neurology | 300 Harding Blvd Ste 118, Roseville, CA 95678-2472 | 2020-08-03 |
| 1164031530 | Katherine Ann Valdivia | Psychiatry & Neurology | 710 Madison St # A, Watsonville, CA 95076-2702 | 2020-07-30 |
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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.