Individual provider Active NPI

Melanie Pollack, DO

  • Emergency Medicine Physician
  • Oceanside, CA
National Provider Identifier
1659756906
Registry record updated Jul 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
20A15784 Issued in CA
Practice address
4002 Vista Way
Oceanside, CA 92056-4506
Phone
(760) 940-3707
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 20A15784 CA Primary

Addresses

Primary practice location

4002 Vista Way
Oceanside, CA 92056-4506

Mailing address

3451 Via Montebello Unit 192311
Carlsbad, CA 92009-8492
Phone (858) 229-6520

Other practice location 1

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1000

Other practice location 2

309 E 2nd St
Pomona, CA 91766-1854
Phone (909) 865-2433

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20180315001973 CA Practitioner - Emergency Medicine 0345502019 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians
Cep America - CaliforniaGroup PAC ID 6103739131, shared by 2 NPIs, 1,278 clinicians
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians

Practice addresses (Care Compare)

2205 Vista Way
Oceanside, CA 92054-5661
Phone (858) 554-9100

27300 Iris Ave
Moreno Valley, CA 92555-4802
Phone (651) 243-0811

5555 Grossmont Ctr Dr
La Mesa, CA 91942-3019
Phone (619) 465-0711

751 Med Ctr CT
Chula Vista, CA 91911-6617
Phone (619) 502-5800

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A15784CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California Emergency Medicine Current Accepting new patients
Palomar Emergency Physicians, Inc Emergency Medicine CurrentSince Aug 1, 2021 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Feb 13, 2024 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Feb 7, 2018 Accepting new patients
Scripps Health Emergency Medicine CurrentSince Jun 27, 2022 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Feb 7, 2018 Accepting new patients
Scripps Health CurrentSince Jun 27, 2022 Accepting new patients
Tiamson Inc CurrentSince Jan 9, 2025 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Jun 1, 2019 Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

27300 Iris Ave
Moreno Valley, CA 92555
Phone (909) 243-0811

2205 Vista Way
Oceanside, CA 92054
Phone (760) 704-5400

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000

10570 Foothill Blvd
Ste 220
Rancho Cucamonga, CA 91730
Phone (909) 808-4888

3660 Arlington Ave
Riverside, CA 92506
Phone (951) 782-3789

Interoperability endpoints

  • Direct secure messaging: mpollack32479@sharphealthcare.direct-ci.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657670400000",
    "number": "1659756906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3451 VIA MONTEBELLO UNIT 192311",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098492",
            "telephone_number": "858-229-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4002 VISTA WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564506",
            "telephone_number": "760-940-3707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "92324",
            "country_code": "US",
            "telephone_number": "909-580-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "309 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "CA",
            "postal_code": "917661854",
            "country_code": "US",
            "telephone_number": "909-865-2433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "MELANIE",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "20A15784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.