Individual provider Active NPI

Jalia Tucker, MD

  • Family Medicine Physician
  • King City, CA
National Provider Identifier
1073040937
Registry record updated Nov 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
169992 Issued in CA
Practice address
122 E San Antonio Dr
King City, CA 93930-2518
Phone
(831) 385-5944
NPI assigned
May 22, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 169992 CA Primary

Addresses

Primary practice location

122 E San Antonio Dr
King City, CA 93930-2518

Mailing address

440 Airport Blvd
Salinas, CA 93905-3302
Phone (831) 757-0434

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201002001423 CA Practitioner - Family Practice 7719240373 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MontereyGroup PAC ID 2466345632, shared by 14 NPIs, 186 clinicians
Salud Para la GenteGroup PAC ID 8729984729, 41 clinicians
El Camino Health Medical Network LLCGroup PAC ID 6103115183, 202 clinicians

Practice addresses (Care Compare)

10561 Merritt St
Castroville, CA 95012-3310
Phone (831) 633-1514

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

204 E Beach St
Watsonville, CA 95076-4809
Phone (831) 728-8250

3155 De Forest Rd
Marina, CA 93933-2702
Phone (831) 384-1445

4150 N 1St St
San Jose, CA 95134-1513
Phone (408) 871-3400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.48 of 100Reported as group
Quality
80.12
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
169992CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Current Accepting new patients
County of Monterey Family Medicine CurrentSince Mar 20, 2024 Accepting new patients
Salud Para la Gente CurrentSince Jan 1, 2022 Accepting new patients
Salud Para la Gente CurrentSince Jan 1, 2022 Accepting new patients
Clinica de Salud del Valle de Salinas Current Accepting new patients
County of Monterey CurrentSince Feb 10, 2023 Accepting new patients
County of Monterey Behavioral Health CurrentSince Feb 10, 2023 Accepting new patients
El Camino Health Medical Network, LLC CurrentSince Jul 24, 2023 Accepting new patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients
Salud Para la Gente Current Accepting new patients
County of Monterey Family Medicine Past Accepting new patients
Clinica de Salud del Valle de Salinas PastSince Aug 31, 2020 Accepting new patients
El Camino Health Medical Group Past Accepting new patients

Locations

19600 Vallco Pkwy
Ste 170
Cupertino, CA 95014
Phone (650) 338-4776

815 Pollard Rd
Los Gatos, CA 95032
Phone (408) 378-6131

3155 De Forest Rd
Marina, CA 93933
Phone (831) 384-1445

1150 W El Camino Real
Mountain View, CA 94040
Phone (650) 695-5008

1441 Constitution Blvd
Bldg 151
Salinas, CA 93906
Phone (831) 755-8640

440 Airport Blvd
Salinas, CA 93905
Phone (831) 757-0434

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

625 Lincoln Ave
San Jose, CA 95126
Phone (408) 278-3003

4150 N 1st St
San Jose, CA 95134
Phone (408) 871-5050

204 E Beach St
Watsonville, CA 95076
Phone (831) 763-3413

45 Nielson St
Watsonville, CA 95076
Phone (831) 761-1588

195 Aviation Way
Ste 200
Watsonville, CA 95076

Interoperability endpoints

  • Direct secure messaging: jtucker145239@icare.elcaminohospital.org
  • Direct secure messaging: jalia.tucker.p1@direct.csvs.nextgenshare.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604880000000",
    "number": "1073040937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 AIRPORT BLVD",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "939053302",
            "telephone_number": "831-757-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E SAN ANTONIO DR",
            "city": "KING CITY",
            "state": "CA",
            "postal_code": "939302518",
            "telephone_number": "831-385-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JALIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2020-11-09",
        "certification_date": "2020-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "169992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King City, CA

Sources for this page

Verify at the official NPI Registry.