Tara Antonucci, AGACNP-BC
NPI 1598476038 · Nurse Practitioner · San Diego, CA
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tara Antonucci, AGACNP-BC is a Nurse Practitioner provider in San Diego, CA (NPI 1598476038).
Provider details
- NPI number
- 1598476038
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGACNP-BC
- Sex
- Female
- Sole proprietor
- No
- License
- 95021759 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 9434 Medical Center DrLa Jolla, CA 92037-1337Phone: (858) 657-8330
Registry dates
- Enumerated
- 2022-12-06
- Last updated
- 2023-04-05
- Certified
- 2023-04-05
Frequently asked questions
- What is Tara Antonucci's NPI number?
- Tara Antonucci's National Provider Identifier (NPI) is 1598476038, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Antonucci's specialty?
- Tara Antonucci is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Tara Antonucci located?
- Tara Antonucci's practice location on file with NPPES is 200 W Arbor Dr, San Diego, CA 92103-9000.
- What is Tara Antonucci's phone number?
- The practice phone number listed in the NPPES registry for Tara Antonucci is (800) 926-8273.
- Does Tara Antonucci accept Medicare?
- Tara Antonucci is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Tara Antonucci's NPI active?
- Yes — Tara Antonucci's NPI (1598476038) is active in the NPPES registry as of the last update on 2023-04-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.