David Stanley Poder, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

20A4153 Issued in CA

Practice address

6289 Pacific Pointe Dr
Huntington Beach, CA 92648-7522

Phone

(714) 849-1826

Fax

(714) 374-7438

NPI assigned

Jun 14, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1184986226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6289 PACIFIC POINTE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926487522",
            "telephone_number": "714-849-1826",
            "fax_number": "714-374-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6289 PACIFIC POINTE DR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926487522",
            "telephone_number": "714-849-1826",
            "fax_number": "714-374-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODER",
        "first_name": "DAVID",
        "middle_name": "STANLEY",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A4153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diwata Pioquinto
• Diana Pipaloff, MS, NBC-HWC, ACC
• Gretchen Lee Pitti, RN, CWON
• Pleiotropy, Inc.
• Joseph Plouffe
• Panara Pok, PHARMD
• Diana Polanco
• Adelya Polivara
• Elizabeth Ann Poloway, AA, BS
• Maria Ponce

• General Practice Physician in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.