NPIMap

Individual provider Active NPI

James A. Pollack, M.D.

  • Surgery Physician
  • Riverside, CA
National Provider Identifier
1205845807
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G88748 Issued in CA
Practice address
7300 Magnolia Ave
Riverside, CA 92504-3849
Phone
(951) 278-8870
Fax
(951) 379-5310
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G88748 CA Primary

Addresses

Primary practice location

7300 Magnolia Ave
Riverside, CA 92504-3849

Mailing address

7300 Magnolia Ave
Riverside, CA 92504-3849
Phone (951) 278-8870

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110809000575 CA Practitioner - General Surgery 8325025760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 1991
Medicare assignment
May accept Medicare assignment
Group practices
Mission Surgical Clinic IncGroup PAC ID 1456313501, 6 clinicians

Practice addresses (Care Compare)

2250 S Main St
Suite 206
Corona, CA 92882-2507
Phone (951) 278-8870

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.27 of 100Reported as group
Quality
77.47
Improvement activities
40
Cost
57.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
88748CAMDCase Manager/Care Coordinator
G88748CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Theodore Affue M D Inc CurrentSince May 1, 2016 Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Universal Health Services of Rancho Springs Inc Past Accepting new patients
Uhs Corona Inc Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
El Centro Regional Medical Center Past Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Temecula Valley Hospital Inc Past Accepting new patients
Herbert J. Thomas Memorial Hospital Association Past Accepting new patients
Mission Surgical Center Inc Past Accepting new patients
Charleston Area Medical Center Inc Past Accepting new patients

Locations

2061 Ross Ave
Ste A
El Centro, CA 92243
Phone (760) 205-1212

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: james.pollack@msci.eclinicaldirectplus.com
  • Direct secure messaging: jpollack182084@direct.llu.edu

Organizations & group practices 12

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1205845807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "951-278-8870",
            "fax_number": "951-379-5310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925043849",
            "telephone_number": "951-278-8870",
            "fax_number": "951-379-5310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "JAMES",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G88748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.