DR. JESSICA CHANG TUCKER (NPI# 1790940203) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790940203 |
| Entity Type | Individual |
| Full Name | DR. JESSICA CHANG TUCKER |
| Credential | D.O. |
| Practice Address |
12291 Washington Blvd Whittier CA 90606-2500 |
| Practice Telephone | 5626980811 |
| Mailing Telephone | 5626980811 |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568084069 | Jessica Brianne Tucker | Social Worker | 408 Burlingham Rd, Bloomingburg, NY 12721-5007 | 2020-05-07 |
| 1083176853 | Jessica Tucker | Physical Therapy Assistant | 20 Dyer Brook Rd, Oakfield, ME 04763 | 2019-04-02 |
| 1740283001 | Jessica Tucker | Family Medicine | 114 Forte Rd, Stedman, NC 28391-8522 | 2005-05-31 |
| 1255941290 | Jessica Tucker | Case Manager/Care Coordinator | 575 E 100 S, Price, UT 84501-3102 | 2020-08-04 |
| 1508482324 | Jessica Tucker | Case Manager/Care Coordinator | 201 5th St Nw Unit 790, Watford City, ND 58854-7118 | 2020-06-17 |
| 1265057707 | Jessica Tucker | Counselor | 995 Helling Way, Nevada City, CA 95959-8619 | 2020-06-10 |
| 1982226080 | Jessica Tucker | Pharmacist | 5120 N May Ave, Oklahoma City, OK 73112-3504 | 2020-05-12 |
| 1790261386 | Jessica Tucker | Physician Assistant | 4700 Nelson Brogdon Blvd Ste 250, Buford, GA 30518-5403 | 2018-07-17 |
| 1265935290 | Jessica Tucker | Behavior Technician | 2354 Powell St Ste A, Emeryville, CA 94608-1738 | 2018-03-15 |
| 1225545163 | Jessica Yvette Tucker | Nurse Practitioner | 1493 Highway 17, Camden, MS 39045-9524 | 2017-12-31 |
| Street Address |
12291 WASHINGTON BLVD |
| City | WHITTIER |
| State | CA |
| Zip Code | 90606-2500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144213067 | Teresa Bernadette Sokol | Physician Assistant | 12291 Washington Blvd, Suite 303, Whittier, CA 90606-2500 | 2005-08-25 |
| 1326508979 | Gesina Thiry | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2019-03-20 |
| 1427405737 | Pih Health Physicians | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2016-05-17 |
| 1912368838 | Nancy Carballo | General Practice | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2016-03-19 |
| 1013396274 | Andy B. Lee | Family Medicine | 12291 Washington Blvd, 500, Whittier, CA 90606-2500 | 2015-05-21 |
| 1326426750 | Amber Rebecca Lin | Family Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606 | 2015-05-18 |
| 1639558067 | Andrew Lin | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Whittier, CA 90606-2500 | 2015-05-18 |
| 1235517665 | Ilana Solomon | Family Medicine | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1225416654 | Misty Cool | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd, Suite 301, Whittier, CA 90606-2500 | 2015-05-18 |
| 1881008662 | Somil Piyush Viradia | Internal Medicine | 12291 Washington Blvd, Suite 500, Whittier, CA 90606-2500 | 2014-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003385113 | Adrian Garcia | Psychologist | 10800 E. Benavon St., Whittier, CA 90606 | 2018-11-19 |
| 1013424951 | Myra Cahambing | Physical Therapy Assistant | 12411 Slauson Ave., Unit G, Whittier, CA 90606 | 2017-12-31 |
| 1639698129 | Josephine Chang | Occupational Therapist | 12411 Slanson Ave. Unit H, Whittier, CA 90606 | 2017-09-15 |
| 1265950786 | Gladys J Lucero | Specialist/Technologist | 12411 Slauson Ave Unit H, Whittier, CA 90606 | 2017-09-05 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124495734 | Valerie Rodriguez | Occupational Therapist | 12421 Slauson Ave., Suite H, Whittier, CA 90606 | 2015-08-31 |
| 1114303104 | Katherine Jones | Occupational Therapist | 12411 Slauson Avenue Unit H, Whittier, CA 90606 | 2015-08-03 |
| 1356742589 | Michael Alberto Garcia | Specialist/Technologist | 12411 Slauson Ave. Unit H, Whittier, CA 90606 | 2014-09-08 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1407284193 | Editha Gutierrez | Nurse Practitioner | 12291 Washington Blvd Ste 205, Whittier, CA 90606 | 2013-10-16 |
| Find all providers in zip 90606 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659907293 | Dustin Kai-wei Lieu | Student in an Organized Health Care Education/Training Program | 1553 Belgreen Dr, Whittier, CA 90601-1046 | 2020-03-16 |
| 1760026181 | Rosalyn Perry | Student in an Organized Health Care Education/Training Program | 11827 Grayling Ave, Whittier, CA 90604-4115 | 2019-10-29 |
| 1487202925 | Cristal De La Torre | Student in an Organized Health Care Education/Training Program | 12015 Armsdale Ave, Whittier, CA 90604-3102 | 2019-08-28 |
| 1700439767 | Ana Ramirez | Student in an Organized Health Care Education/Training Program | 14462 Hayward St, Whittier, CA 90603-1843 | 2019-07-18 |
| 1457807059 | Edward Montero | Student in an Organized Health Care Education/Training Program | 6220 Vicki Drive, Whittier, CA 90606 | 2016-09-01 |
| 1124482567 | Shiv Kalaria | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Ste 301, Whittier, CA 90606-3815 | 2016-04-12 |
| 1881071363 | Mayra Rodriguez | Student in an Organized Health Care Education/Training Program | 14408 Whittier Blvd, Whittier, CA 90605-2139 | 2015-05-04 |
| 1942602602 | Lolita Earlywine | Student in an Organized Health Care Education/Training Program | 12721 Omelia Rd, Whittier, CA 90601-2342 | 2014-09-24 |
| 1922414721 | Jeremiah Knapp | Student in an Organized Health Care Education/Training Program | 12291 Washington Blvd Fl 5, Whittier, CA 90606 | 2014-07-01 |
| 1477165256 | Dania Mason | Student in an Organized Health Care Education/Training Program | 12401 Washington Blvd, Whittier, CA 90602-1006 | 2020-08-21 |
| Find all providers in WHITTIER | ||||
Please comment or provide details below to improve the information on DR. JESSICA CHANG 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.