Individual provider Active NPI

Karen Louise Pollick, RPA-C

  • Physician Assistant
  • Laguna Niguel, CA
National Provider Identifier
1265568497
Registry record updated Nov 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
CA 14902 Issued in CA
Practice address
25500 Rancho Niguel Rd Ste 100
Laguna Niguel, CA 92677-7373
Phone
(949) 643-0500
NPI assigned
Feb 23, 2007
Last updated
Nov 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA 14902 CA Primary

Addresses

Primary practice location

25500 Rancho Niguel Rd Ste 100
Laguna Niguel, CA 92677-7373

Mailing address

25500 Rancho Niguel Rd Ste 100
Laguna Niguel, CA 92677-7373
Phone (949) 643-0500

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL southcoastfammedicalcenter@yahoo.com

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
I20170328001600 CA Practitioner - Physician Assistant 7012292337 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
CA 14902CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Coast Family Medical Center Inc CurrentSince Nov 20, 2022 Accepting new patients
KLP Medical Past Accepting new patients

Locations

25500 Rancho Niguel Rd
Ste 100
Laguna Niguel, CA 92677
Phone (949) 643-0500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1265568497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777373",
            "telephone_number": "949-643-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 RANCHO NIGUEL RD STE 100",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926777373",
            "telephone_number": "949-643-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLICK",
        "first_name": "KAREN",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "CA 14902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "southcoastfammedicalcenter@yahoo.com",
            "affiliation": "N",
            "address_1": "25500 Rancho Niguel Rd Ste 100",
            "city": "Laguna Niguel",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926777373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Laguna Niguel, CA

Sources for this page

Verify at the official NPI Registry.