Individual provider Active NPI

Ronald Dale Pollack, M.D.

  • Psychiatry Physician
  • Ventura, CA
National Provider Identifier
1790819175
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G36850 Issued in CA
Practice address
3585 Maple St Ste 205
Ventura, CA 93003-9143
Phone
(805) 676-1500
Fax
(805) 644-2988
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G36850 CA Primary

Addresses

Primary practice location

3585 Maple St Ste 205
Ventura, CA 93003-9143

Mailing address

3585 Maple St Ste 205
Ventura, CA 93003-9143
Phone (805) 676-1500

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
I20050425001270 CA Practitioner - Psychiatry 5092754531 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
R Franklin University of Med & Sci/Chicago Medical School, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

1732 Palma Dr
Suite 208
Ventura, CA 93003-5796
Phone (805) 650-3094

2721 E Main St
Ventura, CA 93003-2803
Phone (805) 667-2841

4080 Loma Vista Rd
Suite F
Ventura, CA 93003-1811
Phone (805) 667-2841

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Health System CurrentSince Oct 1, 2018 Accepting new patients
Community Memorial Health System Current Accepting new patients
Community Physicians of Ventura County Current Accepting new patients
Community Memorial Health System CurrentSince Oct 1, 2018 Accepting new patients
Community Physicians of Ventura County CurrentSince May 8, 2024 Accepting new patients
Genesis Programs, Inc. CurrentSince Nov 4, 2018 Accepting new patients
Community Physicians of Ventura County CurrentSince May 8, 2024 Accepting new patients
Community Physicians of Ventura County Past Accepting new patients

Locations

5800 Santa Rosa Rd
Ste 149
Camarillo, CA 93012
Phone (805) 465-8900

422 Arneill Rd
Ste B
Camarillo, CA 93010
Phone (805) 383-4510

852 W Ventura St
Fillmore, CA 93015
Phone (805) 524-2672

655 Ventura Ave
Oak View, CA 93022
Phone (805) 649-3750

1306 Maricopa Hwy
Ojai, CA 93023
Phone (805) 640-2260

3641 W 5th St
Oxnard, CA 93030
Phone (805) 985-5505

2921 Saviers Rd
Oxnard, CA 93033
Phone (805) 487-5588

2361 E Vineyard Ave
Oxnard, CA 93036
Phone (805) 981-3770

258 E Harvard Blvd
Santa Paula, CA 93060
Phone (805) 525-5518

242 E Harvard Blvd
Ste C
Santa Paula, CA 93060
Phone (805) 525-9595

138 W Main St
Ste E
Ventura, CA 93001
Phone (805) 667-2850

147 N Brent St
Ventura, CA 93003
Phone (805) 652-5011

4080 Loma Vista Rd
Ste F
Ventura, CA 93003
Phone (805) 642-2574

2721 E Main St
Ventura, CA 93003
Phone (805) 656-6272

2705 Loma Vista Rd
Ste 206
Ventura, CA 93003
Phone (805) 643-4067

5855 Olivas Park Dr
Ventura, CA 93003
Phone (805) 652-5469

168 N Brent St
Ste 302
Ventura, CA 93003
Phone (805) 652-6373

1732 Palma Dr
Ste 208
Ventura, CA 93003
Phone (805) 650-3094

120 N Ashwood Ave
Ventura, CA 93003
Phone (805) 658-5800

124 N Brent St
Ventura, CA 93003
Phone (805) 641-9880

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ronaldpollack@cfh.allscriptsdirect.net
  • Direct secure messaging: rpollack3518411@oc.providencedirect.org

Organizations & group practices 8

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.

Hospital & facility affiliations 10

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790819175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039143",
            "telephone_number": "805-676-1500",
            "fax_number": "805-644-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3585 MAPLE ST STE 205",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930039143",
            "telephone_number": "805-676-1500",
            "fax_number": "805-644-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "RONALD",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G36850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

Verify at the official NPI Registry.