Organization Active NPI

James a Pollack MD LLC

  • Surgery Physician
  • El Centro, CA
National Provider Identifier
1700172913
Registry record updated Jun 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G88748 Issued in CA
Legal business name
JAMES A POLLACK MD LLC
Practice address
1594 S Imperial Ave
El Centro, CA 92243-4241
Phone
(760) 337-1025
Fax
(760) 337-1011
NPI assigned
Jun 26, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2011

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

Authorized official

Name
James A Pollack, MD
Title
Ceo
Phone
(760) 337-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G88748 CA Primary

Addresses

Primary practice location

1594 S Imperial Ave
El Centro, CA 92243-4241

Mailing address

1594 S Imperial Ave
El Centro, CA 92243-4241
Phone (760) 337-1025

National Provider Directory

National Provider Directory

Locations

1594 S Imperial Ave
El Centro, CA 92243
Phone (760) 337-1000

NPI Registry JSON

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

{
    "created_epoch": "1309046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309046400000",
    "number": "1700172913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1594 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-337-1025",
            "fax_number": "760-337-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1594 S IMPERIAL AVE",
            "city": "EL CENTRO",
            "state": "CA",
            "postal_code": "922434241",
            "telephone_number": "760-337-1025",
            "fax_number": "760-337-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES A POLLACK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-26",
        "last_updated": "2011-06-26",
        "status": "A",
        "authorized_official_last_name": "POLLACK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-337-1025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G88748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Centro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2011; 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.