Polumbo Family Dentistry Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

POLUMBO FAMILY DENTISTRY INC

Practice address

316 S Auburn St Ste 2
Grass Valley, CA 95945-7298

Phone

(530) 671-2080

NPI assigned

Sep 23, 2024

Last updated

Jul 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Charles Polumbo II, DDSNPI 1588119903

Title

Dr/Ceo

Phone

(916) 213-0870

Specialties & licenses 1

Addresses

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Timothy Charles Polumbo II, DDS

  • General Practice Dentistry
  • Yuba City, CA
  • NPI 1588119903
  NPD Authorized official
• Otis Bayerd Kittle, DDS

  • Dentist
  • Yuba City, CA
  • NPI 1346303393
  NPD (past)
• Bradley Miles Beisiegel, DDS

  • Dentist
  • Athens, TN
  • NPI 1720698079
  NPD (past)

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

{
    "created_epoch": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1528885381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 PYRAMID CREEK DR",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959018287",
            "telephone_number": "530-671-2080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 S AUBURN ST STE 2",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959457298",
            "telephone_number": "530-671-2080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "415 Alturas St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Yuba City",
            "state": "CA",
            "postal_code": "959914144",
            "country_code": "US",
            "telephone_number": "530-671-2080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POLUMBO FAMILY DENTISTRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "POLUMBO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "DR/CEO",
        "authorized_official_telephone_number": "916-213-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Suzanne Plevel, MA, MFTI
• Olof Erik Pohlson
• Rukiyah Chanise Polk, MISC
• John Kingsley Pollard III, D.C.
• Daniel A Polston
• Ponderosa Physical Therapy Corp. (Ponderosa Physical Therapy)
• Kristen Linnae Ponte, LMFT
• Abigail Christine Pontrich
• Michael Porrello
• Gregory J Porter, M.D.

• Dental Clinic/Center in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.