Active NPI
Gary Polsfuss, M.D.
- Emergency Medicine Physician
- National City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A066536
- 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, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| A066536 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Pacific Emergency Providers, a Prof. Corp. | Emergency Medicine | Current | Accepting new patients |
| Scripps Health | Current | Accepting new patients | |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Medicine Physician Partners of El Dorado County, Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Woodland Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Associates San Jose PC | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Solano Gateway Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | 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
- gpolsfuss230418@santaclaravalley.direct-ci.net
- 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.
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
-
- Emergency Medicine Physician
- Placerville, CA
- NPI 1619278660
-
- Emergency Medicine Physician
- San Jose, CA
- NPI 1306311576
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1487125019
-
- Emergency Medicine Physician
- San Diego, CA
- NPI 1497790539
-
- Emergency Medicine Physician
- Fairfield, CA
- NPI 1952344293
-
- Emergency Medicine Physician
- Woodland, CA
- NPI 1881868164
-
- Emergency Medicine Physician
- National City, CA
- NPI 1780066076
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Hayward, CA
- NPI 1588249569
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Seton Medical Center ,Seton Medical Center Coastside
- General Acute Care Hospital
- Daly City, CA
- NPI 1023636545
-
dba Seton Medical Center, Seton Medica Center Coastside
- Psychiatric Hospital Unit
- Daly City, CA
- NPI 1639797855
-
dba Sharp Grossmont Hospital
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- Placerville, CA
- NPI 1972503142
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
- Benjamin Nato Plata, PASTOR
- Plaza Village Senior Living
- Rowena Q Pobre
- Podiatry Associates of San Diego County, Inc.
- Kevin Franklin Pollock, IDC
- Bobak Thomas Pousti
- Kumara S. Prathipati, M.D.
- Precision Eye Care, a Medical Corp Clinic
- Premiere Pulmonary Consultants
- Premiere Pulmonary Consultants a Medical Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.