Jasper Tucker III

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

25318 Issued in CA

Practice address

14148 Francisquito Ave
Baldwin Park, CA 91706-6120

Phone

(626) 388-2700

NPI assigned

Feb 28, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

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": "1709078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1730945544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16818 DOWNEY AVE APT 16",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907235641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14148 FRANCISQUITO AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917066120",
            "telephone_number": "626-388-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "JASPER",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "OTT.200841",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123005",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "25318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Veronica Chiu Tsang, RRT
• Eli Simon Tsou, MD
• Raymond K Tsukuda, DPM
• Erik Schuman Tu, MD
• James Paul Tucker
• Jennifer Leslie Turcios, PHARM.D.
• Sherry Tyan, DPT
• Emi Sarah Ueda
• Christine U Um, MD
• Darren Jakdat Ung

• Occupational Therapist in Baldwin Park, CA
• Providers in Baldwin Park, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.