Kevin Robert Tucker, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17234 Issued in CA

Practice address

82 Table Mountain Blvd
Oroville, CA 95965-3578

Phone

(530) 538-7705

Fax

(530) 538-7852

NPI assigned

May 19, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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 Osteopathy

State licenses

Practice roles

Locations

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.

• County of Shasta

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Redding, CA
  • NPI 1881692390

  CA

  Medicare reassignment Care Compare group NPD
• County of Butte

  • Adult Mental Health Clinic/Center
  • Chico, CA
  • NPI 1578623583

  CA

  Medicare reassignment NPD
• County of Shasta

  • State or Local Public Health Clinic/Center
  • Redding, CA
  • NPI 1588709182
  Care Compare group NPD
• County of Butte

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paradise, CA
  • NPI 1174161343
  NPD
• County of Butte

  • Community/Behavioral Health Agency
  • Oroville, CA
  • NPI 1740348176
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269

  Hospital

  Care Compare affiliation

Specialty

Psychiatry

Education

Touro Un Col of Osteopathic Medicine, Henderson, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

County of Shasta 12 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oroville Hospital Hospital, Oroville, CA, CCN 050030

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1346629755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TABLE MOUNTAIN BLVD",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959653578",
            "telephone_number": "530-538-7705",
            "fax_number": "530-538-7852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "995 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Gridley",
            "state": "CA",
            "postal_code": "959482128",
            "country_code": "US",
            "telephone_number": "530-846-7305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KEVIN",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "11137175-1204",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "17234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis L. Trenner, D.P.M.
• Tri County Treatment
• William Francis Trinnaman, L.V.N.
• Barbara Tryon, RN
• Dwight Maynard Tryon, D.D.S.
• Dillard Tudor
• Lauren Kay Tuft
• Ramandeep Tumber
• Connie Turgon
• Celeste Valladarez, CMT

• All providers in Oroville, CA
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.