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

Mary K. Tucker, MMS, PA-C

Individual provider Physician Assistant · NPI 1306297072

Mary K. Tucker, MMS, PA-C is a Physician Assistant in LA Jolla, California. Graduated from Wake Forest University School of Medicine in 2016, 10 years ago. Practices with Scripps Health, a 1,446-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.

Years since qualifying
10
Trained at
Wake Forest University School of Medicine
Licensed in
CA, NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

10820 N Torrey Pines Rd
LA Jolla, CA 92037-1036
Phone: (858) 554-8646
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA53671 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 0010-06518 (NC)

Record details

NPI number1306297072
Entity typeIndividual (Type 1)
GenderFemale
Credentials MMS , PA-C
Sole proprietorNo
NPI enumeratedJune 23, 2016
Last updated in NPPESJanuary 3, 2024
Certification dateJanuary 3, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolWAKE FOREST UNIVERSITY SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Scripps Health — 1446 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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