Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mr. Douglas Anthony Tucker Sr., MHSCATCIV155671

Individual provider Substance Abuse Rehabilitation Facility · NPI 1376901017

Mr. Douglas Anthony Tucker Sr., MHSCATCIV155671 is registered under Substance Abuse Rehabilitation Facility in Santa Ana, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2016
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Practice location Address checks out

1207 E Fruit St
Santa Ana, CA 92701-4206 Not confirmed with CMS for 10 years — call before visiting
Phone: (714) 953-9373
Fax: (714) 953-7573
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence 300033CN (CA)

Record details

NPI number1376901017
Entity typeIndividual (Type 1)
GenderMale
Credentials MHSCATCIV155671
Sole proprietorYes
NPI enumeratedFebruary 9, 2016
Last updated in NPPESFebruary 9, 2016

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