Organization Active NPI

Tucker Method LLC

  • Specialist
  • Fremont, CA
National Provider Identifier
1619743440
Registry record updated Dec 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
TUCKER METHOD LLC
Practice address
5268 Central Ave
Fremont, CA 94536-6533
Phone
(510) 578-8155
NPI assigned
Dec 1, 2023
Last updated
Dec 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2023

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

Authorized official

Name
Jason Tucker, NMT, CMT, CPT, BRM
Title
Owner
Phone
(510) 999-2357

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education Nutritionist 133NN1002X
Specialist 174400000X Primary
Massage Therapist 225700000X
Health Educator 174H00000X

Addresses

Primary practice location

5268 Central Ave
Fremont, CA 94536-6533

Mailing address

1179 W a St # 140
Hayward, CA 94541-7006
Phone (510) 999-2357

Other practice location 1

464 Urbano Ave
Hayward, CA 94544-1549
Phone (510) 999-2357

Other practice location 2

22428 Victory Dr
Hayward, CA 94541-5940
Phone (510) 999-2357

National Provider Directory

National Provider Directory

Locations

1179 W A St
Hayward, CA 94541
Phone (510) 209-0498

NPI Registry JSON

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

{
    "created_epoch": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1619743440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1179 W A ST # 140",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945417006",
            "telephone_number": "510-999-2357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5268 CENTRAL AVE",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945366533",
            "telephone_number": "510-578-8155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "464 Urbano Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945441549",
            "country_code": "US",
            "telephone_number": "510-999-2357",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "22428 Victory Dr",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945415940",
            "country_code": "US",
            "telephone_number": "510-999-2357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TUCKER METHOD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-999-2357",
        "authorized_official_credential": "NMT, CMT, CPT, BRM"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.