Individual provider Active NPI

Daniel Jay Tucker, DPM

  • Foot & Ankle Surgery Podiatrist
  • Murrieta, CA
National Provider Identifier
1396744959
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E4705 Issued in CA
Practice address
28078 Baxter Rd Ste 424
Murrieta, CA 92563-1404
Phone
(951) 679-1020
NPI assigned
Jul 18, 2005
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD001177 GA
Foot & Ankle Surgery Podiatrist 213ES0103X 25MD00242700 NJ
Foot & Ankle Surgery Podiatrist 213ES0103X N005485 NY
Foot & Ankle Surgery Podiatrist 213ES0103X 00000833 TN
Foot & Ankle Surgery Podiatrist 213ES0103X E4705 CA Primary

Addresses

Primary practice location

28078 Baxter Rd Ste 424
Murrieta, CA 92563-1404

Mailing address

PO Box 34869
Belfast, ME 04915-0626

Other practice location 1

4901 Raleigh Common Drive
Memphis, TN 38128
Phone (901) 363-3600

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071022000422 CA Practitioner - Podiatry 2466548482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Socal Foot Care PCGroup PAC ID 5395110076, 29 clinicians

Practice addresses (Care Compare)

28078 Baxter Rd
Suite 424
Murrieta, CA 92563-1404
Phone (951) 679-1020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.87 of 100Reported as group
Quality
64.75
Promoting interoperability
100
Improvement activities
40
Cost
74.81

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue58
Removal of nail tissue38
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
833TNMDMarriage & Family Therapist
6158CAMDAcupuncturist
E4705CAMDFoot & Ankle Surgery Podiatrist
25MD00242700NJMDFoot & Ankle Surgery Podiatrist
N005485NYMDFoot & Ankle Surgery Podiatrist
00000833TNMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Foot Care PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Socal Foot Care PC Foot & Ankle Surgery CurrentSince Jul 1, 2025 Accepting new patients
Orlin & Cohen Orthopedic Associates, LLP Past Accepting new patients
Cambridge Foot and Ankle Associates Inc. Past Accepting new patients

Locations

9850 Genesee Ave
Ste 510
La Jolla, CA 92037
Phone (858) 450-9218

28078 Baxter Rd
Ste 424
Murrieta, CA 92563
Phone (951) 679-1020

39755 Murrieta Hot Springs Rd
Ste D130
Murrieta, CA 92563
Phone (951) 698-4611

Interoperability endpoints

  • Direct secure messaging: daniel.tucker.1@20181.direct.athenahealth.com
  • Direct secure messaging: dtucker1257894@direct.llu.edu
  • FHIR API: https://api.platform.athenahealth.com/4399/brand/8/csg/41/fhir/r4

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, 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": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1396744959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 34869",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049150626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28078 BAXTER RD STE 424",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925631404",
            "telephone_number": "951-679-1020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4901 Raleigh Common Drive",
            "address_purpose": "LOCATION",
            "city": "Memphis",
            "state": "TN",
            "postal_code": "38128",
            "country_code": "US",
            "telephone_number": "901-363-3600",
            "fax_number": "901-363-3500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "DANIEL",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "POD001177",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NJ",
            "license": "25MD00242700",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N005485",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "00000833",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E4705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.