Active NPI
Jeffrey Tucker, D.C.
- Chiropractor
- Los Angeles, CA
National Provider Identifier
1942212162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC15055
- Practice address
- 11620 Wilshire Blvd
Suite 710
Los Angeles, CA 90025-1781 - Phone
- (310) 444-9393
- Fax
- (310) 477-4755
- NPI assigned
- Aug 13, 2006
- Last updated
- Nov 12, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC15055 | CA | Primary |
Addresses
Primary practice location
11620 Wilshire Blvd
Suite 710
Los Angeles, CA 90025-1781
Mailing address
11620 Wilshire Blvd
Suite 710
Los Angeles, CA 90025-1781
Phone (310) 444-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Los Angeles College of Chiropractic, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
11620 Wilshire Blvd
Suite 710
Los Angeles, CA 90025-1781
Phone (310) 444-9393
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC15055 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jeffrey Tucker a Chiropractic Corp | Chiropractor | Current | Accepting new patients |
Locations
11620 Wilshire Blvd
Ste 710
Los Angeles, CA 90025
Phone (310) 444-9393
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415750400000",
"number": "1942212162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11620 WILSHIRE BLVD",
"address_2": "SUITE 710",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251781",
"telephone_number": "310-444-9393",
"fax_number": "310-477-4755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11620 WILSHIRE BLVD",
"address_2": "SUITE 710",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900251781",
"telephone_number": "310-444-9393",
"fax_number": "310-477-4755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "JEFFREY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-13",
"last_updated": "2014-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC15055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.