Individual provider Active NPI

Valentina Polman, RN

  • Primary Care Nurse Practitioner
  • South San Francisco, CA
National Provider Identifier
1194442657
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
687169 Issued in CA
Practice address
2250 Gellert Blvd Apt 2412
South San Francisco, CA 94080-5430
Phone
(415) 519-7146
NPI assigned
Oct 25, 2022
Reactivated
Nov 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 687169 CA Primary

Addresses

Primary practice location

2250 Gellert Blvd Apt 2412
South San Francisco, CA 94080-5430

Mailing address

2250 Gellert Blvd Apt 2412
South San Francisco, CA 94080-5430
Phone (415) 519-7146

Other identifiers 1

IdentifierTypeStateIssuer
1194442657OtherCACALIFORNIA BOARD OF NURSING

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL rmoskowitzoffice@gmail.com Health Information Exchange (HIE)
CONNECT URL polmantina@yahoo.com Direct
CONNECT URL California Health Information Exchange (HIE)
CONNECT URL vpolman391@usuniversity.edu Direct

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
I20251216001262 CA Practitioner - Nurse Practitioner 5193219244 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Infusion Express of California IncGroup PAC ID 2365720604, 24 clinicians

Practice addresses (Care Compare)

1 Daniel Burnham CT
Suite 262
San Francisco, CA 94109-5455
Phone (415) 604-3222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
687169CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion Express of California Inc Single Specialty CurrentSince Dec 4, 2025 Accepting new patients
Permanente Medical Group, Inc PastSince Dec 4, 2025 Accepting new patients

Locations

750 Redwood Hwy Frontage Rd
Ste 1206
Mill Valley, CA 94941
Phone (415) 444-2020

66 Bovet Rd
Ste 105
San Mateo, CA 94402
Phone (510) 992-4114

Organizations & group practices 4

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": "1666656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1194442657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 GELLERT BLVD APT 2412",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805430",
            "telephone_number": "415-519-7146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 GELLERT BLVD APT 2412",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805430",
            "telephone_number": "415-519-7146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLMAN",
        "first_name": "VALENTINA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "deactivation_date": "2025-10-06",
        "reactivation_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "687169",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF NURSING",
            "identifier": "1194442657",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "rmoskowitzoffice@gmail.com",
            "affiliation": "N",
            "endpointDescription": "office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2250 Gellert Blvd Apt 2412",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940805430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "polmantina@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2250 Gellert Blvd Apt 2412",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940805430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "California",
            "affiliation": "N",
            "endpointDescription": "state where I live",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office",
            "address_1": "2250 Gellert Blvd Apt 2412",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940805430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "vpolman391@usuniversity.edu",
            "affiliation": "N",
            "endpointDescription": "school email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2250 Gellert Blvd Apt 2412",
            "city": "South San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940805430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in South San Francisco, CA

Sources for this page

Verify at the official NPI Registry.