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MR. DOUGLAS ANTHONY TUCKER SR. MHS CATC IV 155671
NPI 1376901017
Substance Abuse Rehabilitation Facility in Santa Ana, CA

Active since February 09, 2016
1207 E FRUIT ST, SANTA ANA, CA 92701(714) 953-9373(714) 953-7573 Get Directions Write a Review

NPPES record last updated: February 9, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Douglas Anthony Tucker Sr. Mhs Catc Iv 155671 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. DOUGLAS ANTHONY TUCKER SR. MHS CATC IV 155671 (NPI 1376901017) is an individual substance abuse rehabilitation facility provider in Santa Ana, California, licensed in California (300033CN) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1376901017
Entity TypeIndividualMale
Primary Taxonomy324500000X
Provider Legal NameMR. DOUGLAS ANTHONY TUCKER SR.Credential: MHS CATC IV 155671
Location Address1207 E FRUIT STSanta Ana, CA 92701-4206
Mailing Address1207 E Fruit StSanta Ana, CA 92701-4206 · (714) 953-9373 · Fax (714) 953-7573
Phone(714) 953-9373
Fax(714) 953-7573
Sole ProprietorYes
Enumeration DateFebruary 9, 2016
✔ NPI 1376901017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 300033CN
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1207 E FRUIT ST, Santa Ana, CA 92701
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARITA MOREIRA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
GARY DAIJI HAZAMA
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
MADISON PARR
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (949) 396-4566
NOAH WANGAI
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
ANH QUE HUYNH
Licensed Vocational Nurse
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
CRYSTAL SCHONVIESNER
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
SIERA NOELLE GOODRICH
Student in an Organized Health Care Education/Training Program
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373
AIDE MERITO-PINA,
Counselor (Addiction (Substance Use Disorder))
1207 E FRUIT ST
SANTA ANA, CA 92701
Orange County (714) 953-9373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Douglas Tucker's NPI number?

The NPI number for Douglas Tucker is 1376901017. It was assigned to this individual provider in the NPPES registry on February 9, 2016.

Where is Douglas Tucker located?

Douglas Tucker practices at 1207 E Fruit St, Santa Ana, CA 92701. The listed phone number is (714) 953-9373.

What is Douglas Tucker's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Douglas Tucker was last updated on February 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.