1. Home
  2. Directory
  3. California
  4. San Diego
  5. Allergy Immunology
  6. NPI Profile

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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Mark Tucker reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Scripps Health
11 mi
General Acute Care Hospital
9888 GENESEE AVE
La Jolla, CA 92037
  • Reassigned Medicare billing, California enrollment
  • 1,598 clinicians in this Medicare group
NPI 1841277704 (858) 457-4123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
JON GARRELTS
Physical Therapist (Sports)
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
DR. PAULA GRAYSON
Pediatrics
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7969
DR. MATTHEW J. PERL M.D.
Emergency Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7171
DR. MICHAEL DAVID LEE M.D.
Family Medicine
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
PATRICE SNYDER
Occupational Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800
AMY JOELLE CHAMBERLAIN PT
Physical Therapist
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 605-7189
SANDRA A. SALLEE N.P.
Nurse Practitioner
15004 INNOVATION DR
SAN DIEGO, CA 92128
San Diego County (858) 487-1800

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 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.

Where is Mark Tucker located?

Mark Tucker practices at 15004 Innovation Dr, San Diego, CA 92128. The listed phone number is (858) 605-7169.

What is Mark Tucker's specialty?

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

Is Mark Tucker enrolled in Medicare?

Yes. Mark Tucker is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mark Tucker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Tucker reassigns Medicare benefits to Scripps Health (La Jolla, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.