Active NPI
Valentina Polman, RN
- Primary Care Nurse Practitioner
- South San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 687169
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194442657 | Other | CA | CALIFORNIA BOARD OF NURSING |
Electronic endpoints 4
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 687169 | CA | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Infusion Express of California Inc | Single Specialty | Current | Accepting new patients |
| Permanente Medical Group, Inc | Past | 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.
-
- Infusion Therapy Clinic/Center
- Fremont, CA
- NPI 1447604525
Single Specialty
-
- Urgent Care Clinic/Center
- Carmichael, CA
- NPI 1952917635
-
- General Acute Care Hospital
- Oroville, CA
- NPI 1235281759
-
- Clinical Medical Laboratory
- San Jose, CA
- NPI 1497971584
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.