MARK H TUCKER M.D.
NPI 1790704203
Allergy & Immunology in San Diego, CA

Q: What is Mark Tucker's NPI number?

The NPI number for Mark Tucker is 1790704203. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Q: What is Mark Tucker's specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Q: When was this NPI record last updated?

The NPPES record for Mark Tucker was last updated on November 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment

15004 INNOVATION DR, SAN DIEGO, CA 92128(858) 605-7169 Get Directions Write a Review

NPPES record last updated: November 6, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Nov 6, 2025, May 10, 2021, Sep 3, 2019 (3 updates tracked since 2019).

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About Mark H Tucker M.d. NPPES

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

MARK H TUCKER M.D. (NPI 1790704203) is an individual allergy & immunology provider in San Diego, California, licensed in California (A67916) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1997).

NPPES Registry Identity

NPI1790704203

Entity TypeIndividualMale

Primary Taxonomy207K00000X

Provider Legal NameMARK H TUCKERCredential: M.D.

Location Address15004 INNOVATION DRSan Diego, CA 92128-3491

Mailing Address10790 Rancho Bernardo RdSan Diego, CA 92127-5705 · (858) 605-7169

Phone(858) 605-7169

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1997

Enumeration DateJuly 18, 2006

Last NPPES UpdateNovember 6, 20253 updates tracked since enumeration

NPPES CertifiedNovember 6, 2025

✔ NPI 1790704203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians

Taxonomy Code207K00000X

License✔ Licensed in CA · A67916

Definition

An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.

15004 INNOVATION DR, San Diego, CA 92128

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mark H Tucker M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315278496

PECOS Enrollment IDI20251120001983

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MS. MARGARET ANN FULLER

Occupational Therapist (Physical Rehabilitation)