Individual provider Active NPI

Tobiah M Clukey, FNP-C

  • Family Nurse Practitioner
  • Oceanside, CA
National Provider Identifier
1306525662
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025711 Issued in CA
Practice address
3923 Waring Rd Ste a
Oceanside, CA 92056-4499
Phone
(760) 724-8782
Fax
(760) 842-7801
NPI assigned
Jul 13, 2023
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 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 95025711 CA Primary

Addresses

Primary practice location

3923 Waring Rd Ste a
Oceanside, CA 92056-4499

Mailing address

3923 Waring Rd Ste a
Oceanside, CA 92056-4499
Phone (760) 724-8782

Other names 1

  • Tobiah M Santiago Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncgastro@directaddress.net Direct North County Gastroenterology Medical Group, Inc.

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231205001822 CA Practitioner - Nurse Practitioner 1759739543 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North County Gastroenterology Medical Group IncGroup PAC ID 6406749167, 11 clinicians

Practice addresses (Care Compare)

3923 Waring Rd
Suite a
Oceanside, CA 92056-4499
Phone (760) 630-0529

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North County Gastroenterology Medical Group, Inc. CurrentSince Dec 7, 2024 Accepting new patients
Nancy R. Kollisch, M.D., Inc. PastSince Dec 1, 2023 Accepting new patients

Locations

3923 Waring Rd
Ste A
Oceanside, CA 92056
Phone (760) 630-0529

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ncgastro@directaddress.net

Organizations & group practices 2

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

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": "1689206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1306525662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3923 WARING RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564499",
            "telephone_number": "760-724-8782",
            "fax_number": "760-842-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3923 WARING RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564499",
            "telephone_number": "760-724-8782",
            "fax_number": "760-842-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUKEY",
        "first_name": "TOBIAH",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-13",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncgastro@directaddress.net",
            "affiliation": "Y",
            "affiliationName": "North County Gastroenterology Medical Group, Inc.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3923 Waring Rd Ste A",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920564499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TOBIAH",
            "last_name": "SANTIAGO",
            "middle_name": "M",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.