MR. MARIO POLANCO (NPI# 1073640587) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073640587 |
| Entity Type | Individual |
| Full Name | MR. MARIO POLANCO |
| Credential | B.S, DEGREE |
| Practice Address |
5301 Whittier Blvd Atrium Suite Los Angeles CA 90022-4038 |
| Mailing Address |
Po Box 45195 Los Angeles CA 90045-0191 |
| Practice Telephone | 3238877458 |
| Practice Fax Number | 3238878288 |
| Mailing Telephone | 3238877458 |
| Mailing Fax Number | 3238878288 |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2011-12-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | PT 11680 | CA | Other Service Providers |
| Y | 225100000X | Physical Therapist | 11680 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | TAX ID# | 20-5607292 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023065315 | Mario Eduardo Polanco | Dentist | 7814 N Dale Mabry Hwy, Tampa, FL 33614-3220 | 2006-05-30 |
| 1629357033 | Mario Polanco | Technician/Technologist | 161 Washington St., Haverhill, MA 01832-5418 | 2011-08-16 |
| Street Address |
5301 WHITTIER BLVD ATRIUM SUITE |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90022-4038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235266305 | Comprehensive Therapeutic Rehabilitation Inc. | Specialist | 5301 Whittier Blvd, Los Angeles, CA 90022-4038 | 2007-02-27 |
| 1548632672 | Milineh Z. Shahinian | Chiropractor | 5301 Whittier Blvd, Atrium Suite, Los Angeles, CA 90022-4038 | 2015-10-28 |
| 1386021475 | R Roland Lopez, M.d., Inc. | Non-Pharmacy Dispensing Site | 5301 Whittier Blvd, Suite B, Los Angeles, CA 90022-4038 | 2015-04-28 |
| 1407127152 | Rehabilitation Orthopedic Physical Therapy Inc. | Physical Therapist | 5301 Whittier Blvd, Atrium Suite, Los Angeles, CA 90022-4038 | 2012-01-25 |
| 1770850257 | Insomnia Medical Group, Inc | Psychiatry & Neurology | 5301 Whittier Blvd, #410, Los Angeles, CA 90022-4038 | 2011-11-28 |
| 1790062370 | Electrotherapeutics, Inc | Legal Medicine | 5301 Whittier Blvd, 400, Los Angeles, CA 90022-4038 | 2011-11-09 |
| 1023395605 | Non-invasive Therapeutics, Inc | Legal Medicine | 5301 Whittier Blvd, 400, Los Angeles, CA 90022-4038 | 2011-11-09 |
| 1811274707 | Precise Interpreting, Inc | Interpreter | 5301 Whittier Blvd, 400, Los Angeles, CA 90022-4038 | 2011-11-07 |
| 1184901076 | Premium Interpreting, Inc | Interpreter | 5301 Whittier Blvd, 410, Los Angeles, CA 90022-4038 | 2011-11-07 |
| 1942587837 | Quality Interpreting, Inc | Interpreter | 5301 Whittier Blvd, 400, Los Angeles, CA 90022-4038 | 2011-11-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700405701 | Altamed Health Services Corp | Pharmacy | 972 Goodrich Blvd Rm 100, Los Angeles, CA 90022 | 2020-04-10 |
| 1033699426 | Reachwell Home Health Inc | Home Health | 236 1/4 S Atlantic Blvd, Los Angeles, CA 90022 | 2018-08-15 |
| 1326528704 | Shelli Hernandez | Community Health Worker | Enki Health & Research Systems Inc., 1000 Goodrich Blvd., Commerce, CA 90022 | 2018-08-15 |
| 1477071660 | East Los Angeles Womens Center | Counselor | 1431 S. Atlantic Blvd, Los Angeles, CA 90022 | 2017-09-07 |
| 1467974824 | Ena Vilma Hernandez | Registered Nurse | 245 S Fetterly St, Los Angeles, CA 90022 | 2017-07-07 |
| 1437688843 | Maud D Legaspi | Social Worker | 5425 E. Pomona Blvd, Los Angeles, CA 90022 | 2017-06-08 |
| 1548793920 | Harbor Chiropractic, Inc., A Bahan Company | Chiropractor | 5301 Whittier Blvd, Atrium Lower Level, Los Angeles, CA 90022 | 2017-04-04 |
| 1326590423 | Via Care Community Health Center | Clinic/Center | 501 S. Woods Ave, Los Angeles, CA 90022 | 2016-10-25 |
| 1780057950 | Monica Poomiwatracanont | Pharmacist | 5176 E. Whittier Blvd., Los Angeles, CA 90022 | 2015-11-10 |
| 1609277433 | Ethan C. A Lee Dental Inc. | Dentist | 6046 Whittier Blvd., Los Angeles, CA 90022 | 2014-09-11 |
| Find all providers in zip 90022 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452511 | Yacoub Abdallah | Physical Therapist | 3415 S Sepulveda Blvd Ste 550, Los Angeles, CA 90034-6984 | 2020-09-22 |
| 1487268330 | Katrina Mae Balacano Corpuz | Physical Therapist | 258 N Bonnie Brae St Apt 1, Los Angeles, CA 90026-5369 | 2020-09-08 |
| 1376152066 | 2be-fit Inc | Physical Therapist | 811 S Bedford St Apt 301, Los Angeles, CA 90035-1819 | 2020-07-28 |
| 1811526320 | Eunice Shepherd | Physical Therapist | 7077 Willoughby Ave Apt 617, Los Angeles, CA 90038-2389 | 2020-04-06 |
| 1982233805 | Dennis Martin Clarke | Physical Therapist | 1420 S Bedford St Apt 301, Los Angeles, CA 90035-3585 | 2020-04-02 |
| 1669010500 | Paulina Jessica Tapia | Physical Therapist | 350 S Reno St Apt 406, Los Angeles, CA 90057-1194 | 2019-12-10 |
| 1427695774 | Ingrid Michelle Naveira | Physical Therapist | 126 Cheesbroughs Ln, Los Angeles, CA 90063-2839 | 2019-12-05 |
| 1932743515 | Jacob Henry Jaffe | Physical Therapist | 10474 Santa Monica Blvd Ste #435, Los Angeles, CA 90025-6932 | 2019-11-06 |
| 1902448400 | Kristian Noguchi-salazar | Physical Therapist | 1335 N La Brea Ave Ste 3, Los Angeles, CA 90028-7565 | 2019-10-16 |
| 1306496740 | Lilit Petrosyan | Physical Therapist | 5419 Hollywood Blvd Ste C128, Los Angeles, CA 90027-3480 | 2019-09-18 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90022 |
Please comment or provide details below to improve the information on MR. MARIO POLANCO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.