Lawrence Vernon Tucker, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A84067 Issued in CA

Practice address

4000 Macarthur Blvd
Suite 600 East Tower
Newport Beach, CA 92660-2558

Phone

(949) 257-4217

Fax

(949) 627-8107

NPI assigned

Nov 10, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, TX, WA3 enrollments

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 3

Specialty

Psychiatry

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• KBS Medical PA

  • Psychiatry Physician
  • Miramar, FL
  • NPI 1295461036

  TX, WA

  Medicare reassignment NPD
• Addiction Specialist of Southern California, Inc.

  • Adult Mental Health Clinic/Center
  • Newport Beach, CA
  • NPI 1700626629
  NPD Authorized official
• Lawrence V. Tucker, M.D., PLLC

  • Psychiatry Physician
  • Plano, TX
  • NPI 1568747244

  Addiction Medicine

  NPD Authorized official
• Carbon Medical Center

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1609678226
  Medicare reassignment
• Datnguyen MD Inc

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1215977723
  Medicare reassignment
• Wahid Medical Corporation

  • Rural Health Clinic/Center
  • Patterson, CA
  • NPI 1710254313
  Medicare reassignment
• Elite Care, Inc.

  • Substance Abuse Rehabilitation Facility
  • Costa Mesa, CA
  • NPI 1477944908
  NPD (past)
• Executive Recovery Group, Inc

  • Adult Mental Health Clinic/Center
  • Palm Desert, CA
  • NPI 1871108928
  NPD (past)
• Executive Recovery Group, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Encino, CA
  • NPI 1922652296
  NPD (past)
• Executive Recovery Group, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Palm Desert, CA
  • NPI 1942702055
  NPD (past)
• La Jolla Recovery Inc

  • Substance Abuse Rehabilitation Facility
  • La Jolla, CA
  • NPI 1174187017
  NPD (past)
• Recovery Grads, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Angeles, CA
  • NPI 1568827418
  NPD (past)

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1669453262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD",
            "address_2": "SUITE 600 EAST TOWER",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602558",
            "telephone_number": "949-257-4217",
            "fax_number": "949-627-8107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MACARTHUR BLVD",
            "address_2": "SUITE 600 EAST TOWER",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602558",
            "telephone_number": "949-257-4217",
            "fax_number": "949-627-8107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 William D Jones Blvd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "TN",
            "postal_code": "373342730",
            "country_code": "US",
            "telephone_number": "949-257-4217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10703 Ranch Road 12",
            "address_purpose": "LOCATION",
            "city": "Wimberley",
            "state": "TX",
            "postal_code": "786765239",
            "country_code": "US",
            "telephone_number": "949-390-4730",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7601 SR-A1A",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "32080",
            "country_code": "US",
            "telephone_number": "949-257-4217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "LAWRENCE",
        "middle_name": "VERNON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P0883",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "TX",
            "license": "P0883",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "CA",
            "license": "A84067",
            "primary": false
        },
        {
            "code": "2084S0010X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sports Medicine",
            "state": "CA",
            "license": "A84067",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A84067",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LIC",
            "identifier": "P0883",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Konstantinos Tsamoutalidis, DC
• Gene Tsuno, PHARM. D
• Nadezhda Tsvetkova-Stal, L.AC
• Alexander Tu, M.D.
• Desiree Idolly Tucker, NP BC
• Cassandra Nicole Tumanuvao, LMFT
• Madison Turnbull
• J. Donald Turner, D.D.S.
• Leah Fay Turner
• Jennifer Susan Tustison, FNP, PMHNP

• Psychiatry Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2025; 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.