Individual provider Active NPI

Jan Karl David Tarculas, FNP-C

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1124823109
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030551 Issued in CA
Practice address
6667 Valjean CT
San Diego, CA 92111-5936
Phone
(951) 543-6149
NPI assigned
Feb 14, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030551 CA Primary

Addresses

Primary practice location

6667 Valjean CT
San Diego, CA 92111-5936

Mailing address

6667 Valjean CT
San Diego, CA 92111-5936
Phone (951) 543-6149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260415000959 NC Practitioner - Nurse Practitioner 8224504527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Asheville Heart PAGroup PAC ID 7315937430, 19 clinicians

Practice addresses (Care Compare)

257 McDowell St
Asheville, NC 28803-2606
Phone 82825811211122

Hospital & facility affiliations

  • Memorial Mission Hospital and Asheville Surgery Ce Hospital, Asheville, NC, CCN 340002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95030551CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Asheville Heart PA Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1739491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1124823109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6667 VALJEAN CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115936",
            "telephone_number": "951-543-6149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6667 VALJEAN CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921115936",
            "telephone_number": "951-543-6149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARCULAS",
        "first_name": "JAN KARL",
        "middle_name": "DAVID",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-14",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.