Harvey Anton Pollack, MS, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A97857 Issued in CA

Practice address

184 Virginia Ave
Pasadena, CA 91107-4848

Phone

(323) 333-2555

NPI assigned

Apr 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450656000000",
    "number": "1437377603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "184 VIRGINIA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074848",
            "telephone_number": "323-333-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 VIRGINIA AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911074848",
            "telephone_number": "323-333-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "HARVEY",
        "middle_name": "ANTON",
        "credential": "MS, MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2015-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A97857",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A97857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "A97857",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Polito Physical Therapy, Inc.
• Stephen Christopher Polito, P.T.
• Ernest Keith Polk, M.D.
• Joshua A Polk
• Noelle Polk
• Marla Pollack, PH.D.
• Juliette Verdell Pollard, L.V.N.
• Toree Elise Pollington
• Alina Pollner
• Janit Gina Poloss

• General Practice Physician in Pasadena, CA
• Providers in Pasadena, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.