Joanna Tukaj, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A51499 Issued in CA

Practice address

1433 N Hollenbeck Ave Ste 104
Covina, CA 91722-1558

Phone

(626) 914-0017

Fax

(606) 914-0288

NPI assigned

May 2, 2012

Last updated

Mar 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Other names 1

• Joanna Tukaj Professional name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1336407923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-914-0017",
            "fax_number": "626-914-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 N HOLLENBECK AVE STE 104",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917221558",
            "telephone_number": "626-914-0017",
            "fax_number": "606-914-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUKAJ",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A51499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A051499",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAYFLOWER MG NPPES, TYPE-2 NPI",
            "identifier": "1932146370",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "22-3922241",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES, TYPE-1 NPI",
            "identifier": "1336407923",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES, TYPE-2 NPI",
            "identifier": "1477545556",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95-4831794",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "TUKAJ",
            "credential": "JOANNA TUKAJ MD INC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Douglas Tu
• Kristian Eva Cabacungan Tubera, RN
• Hayley Faith Tucker
• Joshua James Tucker
• Lapreshia Tucker
• Emily Tulak
• Aja Tulleners-Lesh
• Radhika Tulpule, M.D.
• Aung Tun
• Win Tun, DDS

• Pediatrics Physician in Covina, CA
• Providers in Covina, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.