Tamara Lakisha Bogar Tucker

Primary specialty

Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X

License

689467 Issued in CA

Practice address

995 Potrero Ave BLDG 90
San Francisco, CA 94110-2859

Phone

(628) 206-8683

NPI assigned

Mar 2, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677715200000",
    "number": "1477253003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24471 BORREGO CIR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928835159",
            "telephone_number": "951-433-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 POTRERO AVE BLDG 90",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941102859",
            "telephone_number": "628-206-8683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGAR TUCKER",
        "first_name": "TAMARA",
        "middle_name": "LAKISHA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "689467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Boekelheide, RN, PNP
• Hallie Boer
• Dorothy Boerste, LMFT
• Rebecca Florez Boettger, PHARM.D.
• Kamyl Danielle Harvey Bogan, MD
• Keith Bogard, CATC-I
• Ryan Bogart
• Olga Bogatova
• Haley Marlene Bogdanovich, PA-C
• Madesyn Boger

• Addiction (Substance Use Disorder) Registered Nurse in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Addiction (Substance Use Disorder) Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.