Desiree Idolly Tucker, NP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95039297 Issued in CA

Practice address

4000 Macarthur Blvd Ste 600
Newport Beach, CA 92660-2517

Phone

(310) 696-8169

NPI assigned

Sep 11, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1275443095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 SONIA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926185913",
            "telephone_number": "310-696-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD STE 600",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602517",
            "telephone_number": "310-696-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DESIREE",
        "middle_name": "IDOLLY",
        "name_prefix": "Mrs.",
        "credential": "NP BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95039297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracee Tsai, OTR/L
• Konstantinos Tsamoutalidis, DC
• Gene Tsuno, PHARM. D
• Nadezhda Tsvetkova-Stal, L.AC
• Alexander Tu, M.D.
• Lawrence Vernon Tucker, M.D.
• Cassandra Nicole Tumanuvao, LMFT
• Madison Turnbull
• J. Donald Turner, D.D.S.
• Leah Fay Turner

• Family Nurse Practitioner in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.