Active NPI
Debra Von Pohle, R.D.
- Registered Dietitian
- San Diego, CA
National Provider Identifier
1821429705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 722478
- Practice address
- 10140 Campus Point Dr
Suite 140
San Diego, CA 92121-1520 - Phone
- (858) 678-7050
- NPI assigned
- Dec 3, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 722478 | IL | Primary |
Addresses
Primary practice location
10140 Campus Point Dr
Suite 140
San Diego, CA 92121-1520
Mailing address
1380 El Cajon Blvd
El Cajon, CA 92020-5703
Phone (858) 784-5888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 722478 | Other | CA | CDR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 88.67 of 100
- Quality
- 81.04
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.04
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 722478 | IL | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients |
Locations
1380 El Cajon Blvd
El Cajon, CA 92020
Phone (619) 590-3300
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
5651 Copley Dr
San Diego, CA 92111
Phone (858) 262-6340
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1821429705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1380 EL CAJON BLVD",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920205703",
"telephone_number": "858-784-5888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10140 CAMPUS POINT DR",
"address_2": "SUITE 140",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211520",
"telephone_number": "858-678-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON POHLE",
"first_name": "DEBRA",
"name_prefix": "Mrs.",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-03",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IL",
"license": "722478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDR",
"identifier": "722478",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.