Individual provider Active NPI

Lon Scott Poliner, M.D.

  • Ophthalmology Physician
  • Poway, CA
National Provider Identifier
1720038458
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
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
Last updated
Feb 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G60369 CA Primary

Addresses

Primary practice location

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

Mailing address

12630 Monte Vista Rd
Suite #104
Poway, CA 92064-2526
Phone (858) 451-1911

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
I20090808000123 CA Practitioner - Ophthalmology 5890848840 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Retina Consultants San Diego Inc Ophthalmology CurrentSince Jan 1, 1988 Accepting new patients
Scripps Health Current Accepting new patients
Retina Consultants San Diego Inc Ophthalmology Current Accepting new patients

Locations

9850 Genesee Ave
Ste 700
La Jolla, CA 92037
Phone (858) 451-1911

12630 Monte Vista Rd
Ste 104
Poway, CA 92064
Phone (858) 451-1911

Interoperability endpoints

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

Organizations & group practices 3

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.

NPI Registry JSON

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.