Clara Lucky Polak MD, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

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

Feb 19, 2025

Organization subpart

No

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

Authorized official

Name

Kathyn Marie Mora

Title

Administrator Assistant

Phone

(619) 827-0572

Specialties & licenses 2

Addresses

Other names 1

• My Chula Vista Doctors Doing business as

Tax ID family

Clara Lucy Polak MD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Clara Lucky Polak MD, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • National City, CA
  • NPI 1356586465
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Clara Lucky Polak MD, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • National City, CA
  • NPI 1356586465
  NPPES parent name

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739923200000",
    "number": "1467258772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W 35TH ST STE 101",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919507926",
            "telephone_number": "619-427-3361"
        },
        {
            "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": "NO",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "MORA",
        "authorized_official_first_name": "KATHYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR ASSISTANT",
        "authorized_official_telephone_number": "619-827-0572"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Chula Vista Doctors",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vanessa Chou
• Christian Transportation Services
• Que Anh Chu, MD
• City of National City
• Clara Lucky Polak MD, Inc.
• Clara Lucy Polak, M.D. Inc.
• Andrew R Clark, PH.D.
• Chris Clark, DC
• Pilar Marie Clark, ASW
• Vernon Clark, PA

• Family Medicine Physician in National City, CA
• Providers in National City, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.