Active NPI
Jessica Ball Pollom, CRNA
- Certified Registered Nurse Anesthetist
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA95001505
- Practice address
- 200 W Arbor Dr
San Diego, CA 92103-9000 - Phone
- (800) 926-8273
- NPI assigned
- Aug 24, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 756989 | NY | |
| Certified Registered Nurse Anesthetist | 367500000X | NA95001505 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr
San Diego, CA 92103-9000
Mailing address
PO Box 232410
San Diego, CA 92193-2410
Phone (800) 926-8273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 W Arbor Dr
San Diego, CA 92103-9000
Phone (800) 926-8273
44139 Monterey Ave
Suite B
Palm Desert, CA 92260-8700
Phone (760) 779-5599
835 3Rd Ave
Suite a
Chula Vista, CA 91911-1352
Phone (619) 425-7755
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.77 of 100
- Quality
- 84.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95001505 | CA | MD | Family Nurse Practitioner |
| NA95001505 | CA | MD | Certified Registered Nurse Anesthetist |
| 756989 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Gabriel Anesthesia Associates, PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Concierge Anesthesia | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| New York University | Current | Accepting new patients | |
| Samantha Polikowski Anesthesia Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Regents of the University of California | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| New York University | Current | Accepting new patients | |
| Regents of the University of California Ucsd Head and Neck Surgery | Past | Accepting new patients | |
| Heart of San Diego Surgical Center LLC | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients |
Locations
288 N Santa Anita Ave
Ste 404
Arcadia, CA 91006
Phone (626) 289-2223
835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755
835 Third Ave
Chula Vista, CA 91911
Phone (619) 409-1600
700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830
488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386
9300 Campus Point Dr
La Jolla, CA 92037
Phone (619) 957-7000
25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670
3903 Waring Rd
Oceanside, CA 92056
Phone (760) 724-3293
44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411
3939 Ruffin Rd
San Diego, CA 92123
Phone (619) 299-9530
200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754
8705 Complex Dr
Ste 202
San Diego, CA 92123
Phone (858) 302-2502
6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130
3939 3rd Ave
San Diego, CA 92103
Phone (619) 296-8525
816 E Enos Dr
Ste B
Santa Maria, CA 93454
Phone (805) 347-7813
4472 Broad St
Ste 150
Sn Luis Obisp, CA 93401
Phone (805) 364-8450
41900 Winchester Rd
Temecula, CA 92590
3180 Willow Ln
Ste 118
Thousand Oaks, CA 91361
Phone (805) 766-6319
696 Hampshire Rd
Ste 100
Westlake Vlg, CA 91361
Phone (805) 413-7920
530 1st Ave
New York, NY 10016
Phone (212) 263-7216
550 1st Ave
New York, NY 10016
Phone (212) 263-3293
14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224
Organizations & group practices 11
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.
-
- Certified Registered Nurse Anesthetist
- San Diego, CA
- NPI 1265535702
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Chula Vista, CA
- NPI 1851157028
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Santa Ana, CA
- NPI 1538424908
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Thousand Oaks, CA
- NPI 1447726997
-
- Otolaryngology Physician
- New York, NY
- NPI 1851456701
-
- Diagnostic Radiology Physician
- San Diego, CA
- NPI 1558463927
-
- Physical Medicine & Rehabilitation Physician
- Boynton Beach, FL
- NPI 1104787613
-
- Anesthesiology Physician
- Boynton Beach, FL
- NPI 1952392946
-
- Ambulatory Surgical Clinic/Center
- San Diego, CA
- NPI 1639815129
-
- Pharmacy
- San Diego, CA
- NPI 1598786576
-
- Otolaryngology Physician
- San Diego, CA
- NPI 1679509962
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1184722779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1487135760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 232410",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921932410",
"telephone_number": "800-926-8273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921039000",
"telephone_number": "800-926-8273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLLOM",
"first_name": "JESSICA",
"middle_name": "BALL",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-24",
"last_updated": "2021-06-10",
"certification_date": "2021-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "756989",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA95001505",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.