Alissa Robles Polehonki, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

705331 Issued in CA

Practice address

985 Victoria St
Costa Mesa, CA 92627-4067

Phone

(949) 646-2433

NPI assigned

Nov 14, 2019

Sex

Female

Sole proprietor

No

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

State licenses

Practice roles

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.

• New Alternatives Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Costa Mesa, CA
  • NPI 1861958050
  NPD (past)

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1326683269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 S FLOWER ST",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683415",
            "telephone_number": "714-978-6682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "985 VICTORIA ST",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926274067",
            "telephone_number": "949-646-2433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "238 S Flower St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683415",
            "country_code": "US",
            "telephone_number": "714-978-6682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLEHONKI",
        "first_name": "ALISSA",
        "middle_name": "ROBLES",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "705331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gianna Poching
• Marina Vladimirovna Podlubnaya, PMHNP-BC
• Zara Podolsky
• Campbell Poe
• Artur Pogosov
• Alice Marie Police, M.D.
• Erin Colleen Pollard, LMFT
• Rebecca Anne Pollard, MA
• Tara Polley
• Jamie Michelle Polmar

• Licensed Vocational Nurse in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.