DR. ROBERT B POLLACK (NPI# 1487653523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487653523 |
| Entity Type | Individual |
| Full Name | DR. ROBERT B POLLACK |
| Credential | M.D. |
| Practice Address |
4510 Executive Dr. Suite 105 San Diego CA 92121-3022 |
| Practice Telephone | 8584578686 |
| Practice Fax Number | 8584507690 |
| Mailing Telephone | 8584578686 |
| Mailing Fax Number | 8584507690 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2010-10-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
G067551 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G675510 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588816771 | Robert W Pollack | Psychiatry & Neurology | 6804 Porto Fino Cir, Suite 1, Fort Myers, FL 33912-7139 | 2008-10-21 |
| 1497725089 | Robert A Pollack | Internal Medicine | 1819 W Clinch Ave, Suite 212, Knoxville, TN 37916-2434 | 2006-01-25 |
| Street Address |
4510 EXECUTIVE DR. SUITE 105 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92121-3022 |
| 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 | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598245474 | Jenny Marie Hullinger | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1811430234 | Marc Hamilton Hedrick | Surgery | 3020 Callan Rd, San Diego, CA 92121-1109 | 2016-12-02 |
| 1881947471 | Amir. M. Karam Inc. | Surgery | 4765 Carmel Mountain Rd., Suite 201, San Diego, CA 92130 | 2012-10-19 |
| 1861717647 | Charlie Chen | Surgery | 3399 1st Ave, San Diego, CA 92103-5601 | 2010-04-05 |
| 1932321270 | Deniz J Gocken | Surgery | 11589 Wannacut Pl, San Diego, CA 92131-3733 | 2007-05-03 |
| 1154415891 | Thomas R. Vecchione | Surgery | 3399 First Avenue, San Diego, CA 92103 | 2006-10-03 |
| 1962982850 | Amanda Mcgee | Surgery | 711 4th Ave Ste 200, San Diego, CA 92101-6863 | 2018-08-20 |
| 1770020471 | Restore Sd Plastic Surgery | Surgery | 8929 University Center Ln, Suite 201, San Diego, CA 92122-1006 | 2017-01-20 |
| 1578869772 | Jason R Hess Plastic Surgery Inc | Surgery | 4060 4th Ave, Suite 120, San Diego, CA 92103-2116 | 2011-02-04 |
| 1780998005 | Coastal Medical Group Inc | Surgery | 12264 El Camino Real, Suite 101, San Diego, CA 92130-3058 | 2010-07-28 |
| 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.