J. Talisman Pomeroy, IV, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G414340 Issued in CA

Legal business name

J. TALISMAN POMEROY, IV, M.D.

Practice address

3035 N Main St
Soquel, CA 95073-2204

Phone

(831) 462-8750

Fax

(831) 475-5713

NPI assigned

Jun 15, 2007

Organization subpart

No

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

Authorized official

Name

Marlyn Tashiro

Title

Medical Biller

Phone

(831) 462-8755

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• J. Talisman Pomeroy, IV, M.D. Former legal business name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• J Talismau Pomeroy

  • Hematology & Oncology Physician
  • Soquel, CA
  • NPI 1396885034
  NPD (past)
• Firouzeh Rabbani, M.D.

  • Specialist
  • New Albany, IN
  • NPI 1487845129
  NPD (past)

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1861697328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3035 N MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732204",
            "telephone_number": "831-462-8750",
            "fax_number": "831-475-5713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3035 N MAIN ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732204",
            "telephone_number": "831-462-8750",
            "fax_number": "831-475-5713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. TALISMAN POMEROY, IV, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "TASHIRO",
        "authorized_official_first_name": "MARLYN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "831-462-8755"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G414340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1861697328",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PIN",
            "identifier": "00G414341",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G414340",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1396885034",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J. Talisman Pomeroy, IV, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Myla Domondon Ilagan
• Donna Certo Ilstrup, M.F.T.
• Scott Imahara, MD
• Margaret Lynn Ingram
• Innersolutions
• Beverly Ann Jarvis, LCSW23094
• Jennifer J Choate MD
• John J Jimenez, DDS
• Betty J. Joder, M.A., LMFT
• Aprile Elizabeth Johnson, DMD

• Specialist in Soquel, CA
• Providers in Soquel, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.