Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelly J Tucker, MD

Individual provider Cardiovascular Disease Physician · NPI 1356372643

Kelly J Tucker, MD is a Cardiac Electrophysiology in Orange, California. Graduated from Uniformed Services Uhs Fe Hebert School of Med in 1987, 39 years ago. Practices with Orange County Heart Institute and Research Center a Medical Group, an 11-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
39
Trained at
Uniformed Services Uhs Fe Hebert School of Med
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1140 W La Veta Ave Ste # 640
Orange, CA 92868-4228
Phone: (714) 564-3300
Fax: (714) 564-3318
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence G64833 (CA)

Record details

NPI number1356372643
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 5, 2006
Last updated in NPPESMarch 7, 2023
Certification dateJune 7, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Also practisesCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolUNIFORMED SERVICES UHS FE HEBERT SCHOOL OF MED
Graduated 1987 (39 years in practice)
Group practice Orange County Heart Institute And Research Center A Medical Group — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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