Individual provider Active NPI

Gary Polsfuss, M.D.

  • Emergency Medicine Physician
  • National City, CA
National Provider Identifier
1700825205
Registry record updated Jul 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A066536 Issued in CA
Practice address
2400 E 4TH St
Emergency Department
National City, CA 91950-2026
Phone
(619) 470-4321
NPI assigned
Jun 6, 2006
Last updated
Jul 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A066536 CA Primary

Addresses

Primary practice location

2400 E 4TH St
Emergency Department
National City, CA 91950-2026

Mailing address

111 N Sepulveda Blvd
Suite 210
Manhattan Beach, CA 90266-6861
Phone (310) 379-2134

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
I20050628001354 CA Practitioner - Emergency Medicine 4789620931 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Geffen School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Physicians of Northern California Medical Group IncGroup PAC ID 7113215146, 84 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066536CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Sep 4, 2023 Accepting new patients
Nes Western Group, a Professional Corporation Emergency Medicine CurrentSince Sep 4, 2023 Accepting new patients
Pacific Emergency Providers, a Prof. Corp. Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Scripps Health Current Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince May 1, 2025 Accepting new patients
Emergency Medicine Physician Partners of El Dorado County, Inc Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Woodland Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Cep America - California Emergency Medicine CurrentSince Nov 18, 2024 Accepting new patients
Winterhaven Emergency Physicians Medical Group Inc Emergency Medicine Past Accepting new patients

Locations

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

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

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

170 Alameda de las Pulgas
Redwood City, CA 94062
Phone (650) 367-5536

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4077 5th Ave
#M
San Diego, CA 92103
Phone (619) 260-7000

4077 5th Ave
San Diego, CA 92103
Phone (619) 260-7245

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

1325 Cottonwood St
Woodland, CA 95695
Phone (530) 662-3961

Interoperability endpoints

  • Direct secure messaging: gpolsfuss230418@santaclaravalley.direct-ci.net
  • Direct secure messaging: gpolsfuss80469@scrippshlth.medalliesdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 14

Hospital & facility affiliations 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311552000000",
    "number": "1700825205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 N SEPULVEDA BLVD",
            "address_2": "SUITE 210",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902666861",
            "telephone_number": "310-379-2134",
            "fax_number": "310-379-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 E 4TH ST",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "NATIONAL CITY",
            "state": "CA",
            "postal_code": "919502026",
            "telephone_number": "619-470-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSFUSS",
        "first_name": "GARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A066536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in National City, CA

Sources for this page

Verify at the official NPI Registry.