David Frederick Polster, M.D.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

G27435 Issued in CA

Practice address

Volunteers in Medicine San Diego
1457 W Madison Ave
El Cajon, CA 92019-1002

Phone

(619) 440-4591

Fax

(619) 440-4944

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pulmonary Associates Medical Group, Inc

  • Pulmonary Disease Physician
  • La Mesa, CA
  • NPI 1710099049

  Critical Care Medicine

  NPD (past) Authorized official

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1083683635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 CALAVO DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919415701",
            "telephone_number": "619-940-5864",
            "fax_number": "619-462-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "VOLUNTEERS IN MEDICINE SAN DIEGO",
            "address_2": "1457 W MADISON AVE",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920191002",
            "telephone_number": "619-440-4591",
            "fax_number": "619-440-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSTER",
        "first_name": "DAVID",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G27435",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G27435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G274350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Platte
• Pmtsd1
• Katherine Polanco
• Nick Polis, DPT
• David Victor Polniak, LMFT 99185
• Dina Polus
• Adriana Setareh Pombo
• Michal Miriam Pomeranetz, LMFT
• Kiley Pope, PTA
• Alma Porley

• Pulmonary Disease Physician in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.