Lon Scott Poliner, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

G60369 Issued in CA

Practice address

12630 Monte Vista Rd
Suite #104
Poway, CA 92064-2526

Phone

(858) 451-1911

Fax

(858) 451-0566

NPI assigned

May 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lpoliner81462@scrippshlth.medalliesdirect.net

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.

• Retina Consultants San Diego Inc

  • Ophthalmology Physician
  • Poway, CA
  • NPI 1790736098
  Medicare reassignment NPD
• Retina Consultants San Diego Inc

  • Ophthalmology Physician
  • La Jolla, CA
  • NPI 1366493546
  NPD
• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1720038458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE #104",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE #104",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642526",
            "telephone_number": "858-451-1911",
            "fax_number": "858-451-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLINER",
        "first_name": "LON",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G60369",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE-POWAY",
            "identifier": "180005390",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MDICARE-LA JOLLA",
            "identifier": "180016914",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G603690",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Pinto NG Zhao OD Inc
• Chad Alan Pittman, BCBA
• Ronald Andrew Pobiner, DDS
• S Steven Podstreleny, DDS
• Gordon William Poelman, D.D.S.
• Melissa Quinn Pollock, LCSW
• Madeline Polonia, PSY.D.
• Mackenzie Polu, RBT
• Pomerado Inc
• Pomerado Operations, LLC

• Ophthalmology Physician in Poway, CA
• Providers in Poway, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.