Active NPI
Jesse Tipasa Tukuafu, DPM
- Foot & Ankle Surgery Podiatrist
- San Diego, CA
National Provider Identifier
1922451921
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E6091
- Practice address
- 2051 Cushing Rd
San Diego, CA 92106-6173 - Phone
- (619) 524-0146
- NPI assigned
- Jul 14, 2016
- Last updated
- Apr 21, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Podiatric Assistant | 211D00000X | NU | ||
| Primary Podiatric Medicine Podiatrist | 213EP1101X | 10383567-0501 | UT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 10383567-0501 | UT | |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E6091 | CA | Primary |
Addresses
Primary practice location
2051 Cushing Rd
San Diego, CA 92106-6173
Mailing address
3989 32ND St
San Diego, CA 92104-2001
Phone (619) 283-2097
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220930001127 | UT | Order and Referring Only - Podiatry | 2264818012 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6091 | CA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trent Brookshier DPM PC | Foot & Ankle Surgery | Current | Accepting new patients |
| Jesse Tukuafu DPM | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
3989 32nd St
San Diego, CA 92104
Phone (619) 283-2097
Organizations & group practices 2
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.
-
- Foot & Ankle Surgery Podiatrist
- San Diego, CA
- NPI 1952225237
-
- Foot & Ankle Surgery Podiatrist
- San Diego, CA
- NPI 1801530878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745193600000",
"number": "1922451921",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3989 32ND ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921042001",
"telephone_number": "619-283-2097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2051 CUSHING RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921066173",
"telephone_number": "619-524-0146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUKUAFU",
"first_name": "JESSE",
"middle_name": "TIPASA",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-07-14",
"last_updated": "2025-04-21",
"certification_date": "2025-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "211D00000X",
"taxonomy_group": "",
"desc": "Assistant, Podiatric",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213EP1101X",
"taxonomy_group": "",
"desc": "Podiatrist, Primary Podiatric Medicine",
"state": "UT",
"license": "10383567-0501",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "UT",
"license": "10383567-0501",
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E6091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.