Active NPI
Clara Lucky Polak MD, Inc.
- Endocrinology, Diabetes & Metabolism Physician
- National City, CA
National Provider Identifier
1356586465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- CLARA LUCKY POLAK MD, INC.
- Practice address
- 22 W 35TH St Ste 101
National City, CA 91950-7926 - Phone
- (619) 427-3361
- NPI assigned
- Dec 4, 2008
- Organization subpart
- Yes
- Parent organization
- CLARA LUCKY POLAK MD, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Clara Lucy Polak, MD
- Title
- Medical Director
- Phone
- (619) 427-3362
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary |
Addresses
Primary practice location
22 W 35TH St Ste 101
National City, CA 91950-7926
Mailing address
9276 Scranton Rd
Suite 100
San Diego, CA 92121-7701
Other names 1
- My Chula Vista Doctors
National Provider Directory
National Provider Directory- Tax ID family
- Clara Lucy Polak MD Inc
- Part of
- Clara Lucy Polak MD Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- National City, CA
- NPI 1467258772
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Family Medicine Physician
- National City, CA
- NPI 1467258772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731628800000",
"number": "1356586465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9276 SCRANTON RD",
"address_2": "SUITE 100",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921217701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 W 35TH ST STE 101",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919507926",
"telephone_number": "619-427-3361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLARA LUCKY POLAK MD, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CLARA LUCKY POLAK MD, INC.",
"enumeration_date": "2008-12-04",
"last_updated": "2024-11-15",
"certification_date": "2024-11-15",
"status": "A",
"authorized_official_last_name": "POLAK",
"authorized_official_first_name": "CLARA",
"authorized_official_middle_name": "LUCY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "619-427-3362",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "My Chula Vista Doctors",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in National City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.