Active NPI
Evamae Aurelia Tucker
- Case Manager/Care Coordinator
- San Pedro, CA
National Provider Identifier
1154956324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 537 W 8TH St
San Pedro, CA 90731-3119 - Phone
- (714) 617-4886
- NPI assigned
- Mar 9, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
537 W 8TH St
San Pedro, CA 90731-3119
Mailing address
537 W 8TH St
San Pedro, CA 90731-3119
Phone (714) 617-4886
Other practice location 1
1691 Gramercy Ave
Torrance, CA 90501-3236
Phone (714) 617-4886
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eva.tucker@rop.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rite of Passage Adolescent Treatment Centers and Schools, Inc. | Current | Accepting new patients | |
| Southern California Health & Rehabilitation Program | Past | Accepting new patients | |
| Rite of Passage Adolescent Treatment Centers and Schools, Inc. | Past | Accepting new patients | |
| Southern California Health & Rehabilitation Program | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Adolescent and Children Mental Health Clinic/Center
- San Pedro, CA
- NPI 1679103006
-
- Adolescent and Children Mental Health Clinic/Center
- Torrance, CA
- NPI 1003391467
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1467775221
-
- Community/Behavioral Health Agency
- Lynwood, CA
- NPI 1689793739
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649721600000",
"number": "1154956324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "537 W 8TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313119",
"telephone_number": "714-617-4886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "537 W 8TH ST",
"city": "SAN PEDRO",
"state": "CA",
"postal_code": "907313119",
"telephone_number": "714-617-4886"
}
],
"practiceLocations": [
{
"address_1": "1691 Gramercy Ave",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905013236",
"country_code": "US",
"telephone_number": "714-617-4886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUCKER",
"first_name": "EVAMAE",
"middle_name": "AURELIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-09",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eva.tucker@rop.com",
"affiliation": "N",
"endpointDescription": "Work Email",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "537 W 8th St",
"city": "San Pedro",
"state": "CA",
"country_code": "US",
"postal_code": "907313119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Pedro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.