DR. MICHAEL LUCIUS POMERANTZ (NPI# 1356505705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356505705 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LUCIUS POMERANTZ |
| Credential | MD |
| Practice Address |
4445 Eastgate Mall Ste 105 San Diego CA 92121 |
| Mailing Address |
955 Lane Ave Suite 200 Chula Vista CA 91914-4525 |
| Practice Telephone | 6194213400 |
| Practice Fax Number | 6194213557 |
| Mailing Telephone | 6194213400 |
| Mailing Fax Number | 6194213557 |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 60918 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
A109105 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 W Arbor Dr, San Diego, CA 921039000 | 8586578200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437146131 | Michael Pomerantz | Internal Medicine | 900 Warren Ave, Suite 401, East Providence, RI 02914-1430 | 2005-09-29 |
| Street Address |
4445 EASTGATE MALL STE 105 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598185571 | Michael Lundstrom | Occupational Therapist | 4445 Eastgate Mall Ste 105, San Diego, CA 92121-1979 | 2014-04-17 |
| 1447679758 | Jennifer Dulmes | Occupational Therapist | 4445 Eastgate Mall Ste 105, San Diego, CA 92121-1979 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225644917 | Anna Hand | Physical Therapist | 5945 Pacific Center Blvd Bldg #510, San Diego, CA 92121 | 2020-09-18 |
| 1972138030 | Lamarr Joyner | Licensed Vocational Nurse | 5930 Conerstone Court West, Suite 300, San Diego, CA 92121 | 2020-03-10 |
| 1396383212 | La Jolla Professional Plastic Surgery | Plastic Surgery | 4510 Executive Dr. Suite 105, San Diego, CA 92121 | 2019-12-11 |
| 1841852472 | Unmanned Systems Operations Group | Air Carrier | 4655 Executive Dr., Suite 700, San Diego, CA 92121 | 2019-07-03 |
| 1861051922 | Grace Getchell | Behavior Technician | 3978 Sorrento Valley Blvd. #100, San Diego, CA 92121 | 2019-06-11 |
| 1720643299 | Megan Jean Bathen | Behavior Technician | Cortica Behavioral Inc., 7090 Miratech Dr., San Diego, CA 92121 | 2019-05-09 |
| 1346804366 | Daniel Melita | Massage Therapist | 11689 Sorrento Valley Rd Ste Q, San Diego, CA 92121 | 2019-04-25 |
| 1831674464 | Stepahnie Becerra | Behavior Technician | 3978 Sorrento Valley Blvd Suite 100, San Diego, CA 92121 | 2018-09-28 |
| 1265915466 | Ailyn Martinez | Behavior Technician | 3978 Sorrento Valley Bldv, 100, San Diego, CA 92121 | 2018-09-13 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| Find all providers in zip 92121 | ||||
| Taxonomy Code | 207XS0106X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Hand Surgery |
| An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932547536 | Hassan Jon Azimi | Orthopaedic Surgery | 8008 Frost St Ste 403, San Diego, CA 92123-4209 | 2013-06-06 |
| 1194856427 | Gregory Michael Balourdas | Orthopaedic Surgery | 4101 Randolph St, San Diego, CA 92103-1342 | 2007-03-08 |
| 1518589357 | Hassan J Azimi Md Inc | Orthopaedic Surgery | 8008 Frost St Ste 403, San Diego, CA 92123-4209 | 2020-05-14 |
| 1528444171 | Lindsey Urband Md Corp | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2015-08-05 |
| 1518206507 | Gregory M. Balourdas, M.d., Inc. | Orthopaedic Surgery | 4101 Randolph St, San Diego, CA 92103-1342 | 2013-02-11 |
| 1912235482 | Samantha Lee Piper | Orthopaedic Surgery | 5893 Copley Dr, Kaiser Permanente Garfield Specialty Center, San Diego, CA 92111-7906 | 2009-11-22 |
| 1740422997 | Lindsey Starr Urband | Orthopaedic Surgery | 8008 Frost St, Suite 403, San Diego, CA 92123-4205 | 2009-04-02 |
| 1669547857 | Leo T Kroonen | Orthopaedic Surgery | 34800 Bob Wilson Dr, Nmcsd, San Diego, CA 92134-1098 | 2006-11-22 |
| 1225130677 | Regents of The University of California-ucsd Medical Group | Orthopaedic Surgery | 200 West Arbor Drive, Mc-8201 Attn: Provider Enrollment Department, San Diego, CA 92103-8201 | 2006-09-05 |
| 1548371925 | Byron King | Orthopaedic Surgery | 3939 Ruffin Rd Ste 101, San Diego, CA 92123-1815 | 2006-08-31 |
| Find all providers in SAN DIEGO | ||||
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| 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.