LAWRENCE V. TUCKER, M.D.
NPI 1013018266
Family Medicine - Addiction Medicine in San Bernardino, CA

NPI Status: Active since September 26, 2006

Contact Information

1396 N WATERMAN AVE
SUITE #110
SAN BERNARDINO, CA
ZIP 92404
Phone: (800) 678-3127
Fax: (800) 929-8557

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  • Organization
  • Family Medicine
  • Addiction Medicine

About LAWRENCE V. TUCKER, M.D.

This page provides the complete NPI Profile along with additional information for Lawrence V. Tucker, M.d., a provider established in San Bernardino, California operating as a Family Medicine, focusing in addiction medicine . The healthcare provider is registered in the NPI registry with number 1013018266 assigned on September 2006. The practitioner's primary taxonomy code is 207QA0401X with license number A84067 (CA). The provider is registered as an organization and their NPI record was last updated 5 years ago. Lawrence V. Tucker, M.d. operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Lawrence V. Tucker, M.d.. The authorized official of this NPI record is Dr. Lawrence Vernon Tucker M.d. (Ceo)

NPI
1013018266
Provider Legal Name
COMPREHENSIVE BEHAVIORAL HEALTH CARE, INC.
Other Organization Name
LAWRENCE V. TUCKER, M.D.
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1396 N WATERMAN AVE SUITE #110 SAN BERNARDINO, CA 92404
Location Phone
(800) 678-3127
Location Fax
(800) 929-8557
Mailing Address
1396 N WATERMAN AVE SUITE #110 SAN BERNARDINO, CA 92404
Mailing Phone
(800) 678-3127
Mailing Fax
(800) 929-8557
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-26-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine Addiction Medicine

Taxonomy Code
207QA0401X
Type
Allopathic & Osteopathic Physicians
License No.
A84067
License State
CA
Taxonomy Description
A family medicine physician who specializes in the diagnosis and treatment of addictions.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. LAWRENCE VERNON TUCKER M.D.

Authorized Official Title
CEO
Authorized Official Phone
(800) 678-3127

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013018266
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230116212
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 1 + 1 + 6 + 2 + 1 + 2 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1013018266 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

WATERMAN HEALTH INC

General Practice

1396 N WATERMAN AVE
109
SAN BERNARDINO, CA
ZIP 92404

(909) 885-2464

YESSAR TAKRURI M.D.

Internal Medicine

(Cardiovascular Disease)

1396 N WATERMAN AVE
SAN BERNARDINO, CA
ZIP 92404

(909) 754-8487

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013018266, enumerated as an "organization" on September 26, 2006.

The provider is located at 1396 N WATERMAN AVE SUITE #110 SAN BERNARDINO, CA 92404 and the phone number is (800) 678-3127.

Family Medicine with taxonomy code 207QA0401X and a focus in Addiction Medicine.