DAVID BRENT POLK


Address: 3030 Childrens Way, San Diego, CA 92123-4232
Phone: 8589664003

DAVID BRENT POLK (NPI# 1427140839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427140839
Entity Type Individual
Full Name DAVID BRENT POLK
Credential MD
Practice Address 3030 Childrens Way
San Diego
CA 92123-4232
Mailing Address 3020 Childrens Way # Mc5003
San Diego
CA 92123-4223
Practice Telephone 8589664003
Mailing Telephone 8583096300
Enumeration Date 2006-09-30
Last Update Date 2020-08-28
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0206X Pediatrics
Specialization: Pediatric Gastroenterology
A43654 CA Allopathic & Osteopathic Physicians

Other Providers DAVID POLK

NPI Name Taxonomy Address Enumeration
1710108295 David Polk Chiropractor 4054 Sawyer Rd, Sarasota, FL 34233-1272 2007-05-01
1083695480 David Lawrence Polk Dentist 167 W Main St, Bedford, VA 24523-1950 2005-11-11

Office Location

Street Address 3030 CHILDRENS WAY
City SAN DIEGO
State CA
Zip Code 92123-4232

Providers in the same location

NPI Name Taxonomy Address Enumeration
1144229600 Charles Douglas Wallace Orthopaedic Surgery 3030 Childrens Way, Ste 410, San Diego, CA 92123-4232 2005-07-18
1841808854 Lorri A. Kais Clinical Neuropsychologist 3030 Childrens Way, San Diego, CA 92123-4232 2020-07-15
1114541760 Samantha Barbara Nigrelli Nurse Practitioner 3030 Childrens Way, San Diego, CA 92123-4232 2020-05-29
1134755630 Sara J. Fligelman Psychologist 3030 Childrens Way, San Diego, CA 92123-4232 2020-03-16
1316571367 Kayleigh M. Prowse Nurse Practitioner 3030 Childrens Way, San Diego, CA 92123-4232 2020-02-28
1639649239 Kimberly Charlotte Padilla Nurse Practitioner 3030 Childrens Way, San Diego, CA 92123 2018-11-27
1568953172 Elizabeth Williams Smith Nurse Practitioner 3030 Childrens Way, San Diego, CA 92123-4232 2018-05-21
1083132260 Eve U. Nguyen Psychologist 3030 Childrens Way, San Diego, CA 92123-4232 2017-09-07
1659893295 Ronak Rahmanian Otolaryngology 3030 Childrens Way, San Diego, CA 92123-4232 2017-07-14
1689048530 Carie Truong Lam Physician Assistant 3030 Childrens Way, San Diego, CA 92123-4232 2015-11-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669087326 Corina Lozano Manzo Registered Nurse 7436 Mission Center Road, San Diego, CA 92123 2020-09-10
1831703537 Shannon Leigh Doolittle Audiologist 3020 Children's Way Mc5010, San Diego, CA 92123 2020-09-01
1861014359 Ha Thanh Truong Pharmacist Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 2020-05-07
1023667136 Brittany Meyer Physical Therapist 3020 Children's Waymc5068, San Diego, CA 92123 2019-09-11
1598313272 Ryan Edward Shaw Marriage & Family Therapist 8910 Clairmont Mesa Blvd, San Diego, CA 92123 2019-08-27
1528611910 Tanisha C Fulcher Marriage & Family Therapist 8825 Aero Dr., Ste 315, San Diago, CA 92123 2019-07-24
1245795665 Robin James Pekin Marriage & Family Therapist 4450 Kearny Villa Rd, #116, San Diego, CA 92123 2019-02-11
1174093728 Karen Vences Counselor 8755 Aero Dr Suite 230, San Diego, CA 92123 2018-11-27
1255808465 Natasha Herrera Counselor 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 2018-10-25
1407321987 Maneka Elikewela Behavior Technician 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 2018-10-10
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Taxonomy Information

Taxonomy Code 2080P0206X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Gastroenterology

Taxonomy Definition

A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821083338 Hayat Mousa Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2005-09-12
1598029332 Nidhi Pandhoh Goyal Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2012-06-26
1285994921 Maria Lourdes Herrera Pediatrics 3020 Childrens Way # Mc5124, San Diego, CA 92123-4223 2012-05-28
1538485586 Elizabeth Louise Yu Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2010-04-15
1932328747 Mamata Sivagnanam Pediatrics 8110 Birmingham Way, Bldg 28, San Diego, CA 92123-2758 2007-04-24
1477620300 Warren L. Shapiro Pediatrics 8110 Birmingham Way, Bldg 28, San Diego, CA 92123-2758 2006-11-29
1114098969 Sherry Chu-sing Huang Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2006-11-13
1013088871 Jeannie Shih Huang Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2006-11-13
1932270782 Jeffrey Barnett Schwimmer Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2006-11-13
1356372924 Koorosh Kooros Pediatrics 8110 Birmingham Way, San Diego, CA 92123-2758 2006-07-05
Find all providers in SAN DIEGO

Competitor

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City SAN DIEGO
Zip Code 92123

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Dataset Information

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.

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