Individual provider Active NPI

Todd A. Polk, DC

  • Chiropractor
  • Santee, CA
National Provider Identifier
1588696090
Registry record updated Sep 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC26305 Issued in CA
Practice address
9225 Carlton Hills Blvd Ste 18
Santee, CA 92071-7902
Phone
(619) 449-4292
Fax
(619) 449-4293
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC26305 CA Primary

Addresses

Primary practice location

9225 Carlton Hills Blvd Ste 18
Santee, CA 92071-7902

Mailing address

9225 Carlton Hills Blvd Ste 18
Santee, CA 92071-7902
Phone (619) 449-4292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040213000375 CA Practitioner - Chiropractic 7012801558 Practice locations: Santee, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC26305CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Wayne M Whalen D C a Chiropractic Corporation Chiropractor PastSince Jul 1, 2004 Accepting new patients
Rhodes Chiropractic Inc. Chiropractor Past Accepting new patients
Steven M Haley Chiropractic Inc Chiropractor Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1588696090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9225 CARLTON HILLS BLVD STE 18",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920717902",
            "telephone_number": "619-449-4292",
            "fax_number": "619-449-4293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9225 CARLTON HILLS BLVD STE 18",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920717902",
            "telephone_number": "619-449-4292",
            "fax_number": "619-449-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "TODD",
        "middle_name": "A.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.