Active NPI
Mark Polarek
- Case Manager/Care Coordinator
- Oceanside, CA
National Provider Identifier
1730367210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1320 Union Plaza Court
O
Oceanside, CA 92054 - Phone
- (760) 439-7513
- Fax
- (760) 439-5625
- NPI assigned
- Feb 6, 2008
- 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 |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
1320 Union Plaza Court
O
Oceanside, CA 92054
Mailing address
5005 Texas St
Suite 203 Home Start
San Diego, CA 91208
Phone (619) 692-0727
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1730367210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5005 TEXAS ST",
"address_2": "SUITE 203 HOME START",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "91208",
"telephone_number": "619-692-0727",
"fax_number": "619-692-0785"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 UNION PLAZA COURT",
"address_2": "O",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "92054",
"telephone_number": "760-439-7513",
"fax_number": "760-439-5625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLAREK",
"first_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.