Individual provider Active NPI

Lauren Mary Pollock, MSN, FNP-BC

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1033593892
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95003019 Issued in CA
Practice address
7801 Mission Center CT Ste 250
San Diego, CA 92108-1314
Phone
(619) 738-5566
NPI assigned
Jul 11, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2283285 MA
Family Nurse Practitioner 363LF0000X 95003019 CA Primary
Registered Nurse 163W00000X 95065055 CA
Registered Nurse 163W00000X 2283285 MA

Addresses

Primary practice location

7801 Mission Center CT Ste 250
San Diego, CA 92108-1314

Mailing address

8908 Hightail Dr
Santee, CA 92071-2062
Phone (203) 331-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151021002812 CA Practitioner - Nurse Practitioner 5991014573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pouya Afshar MD IncGroup PAC ID 1557656337, 19 clinicians

Practice addresses (Care Compare)

3111 Camino del Rio N
Suite 625
San Diego, CA 92108-5718
Phone (619) 738-5566

7801 Mission Ctr CT
Suite 310
San Diego, CA 92108-1316
Phone (619) 738-5566

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95003019CAMDFamily Nurse Practitioner
2283285MAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pouya Afshar MD Inc CurrentSince Jul 21, 2018 Accepting new patients

Locations

3111 Camino del Rio N
Ste 625
San Diego, CA 92108
Phone (619) 738-5566

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1033593892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8908 HIGHTAIL DR",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712062",
            "telephone_number": "203-331-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7801 MISSION CENTER CT STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081314",
            "telephone_number": "619-738-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOCK",
        "first_name": "LAUREN",
        "middle_name": "MARY",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-11",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "2283285",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95003019",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95065055",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MA",
            "license": "2283285",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.