Active NPI
Gerald M. Pohost, MD
- Cardiovascular Disease Physician
- Glendale, CA
National Provider Identifier
1871534636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- G86422
- Practice address
- 1505 Wilson Terrace
Suite 150
Glendale, CA 61206-4007 - Phone
- (818) 409-3501
- Fax
- (818) 956-7680
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | G86422 | CA | Primary |
| Nuclear Medicine Physician | 207U00000X | G84622 | CA |
Addresses
Primary practice location
1505 Wilson Terrace
Suite 150
Glendale, CA 61206-4007
Mailing address
2200 North Mayfair Road
Suite 200
Wauwatosa, WI 53226-2252
Phone (414) 258-9511
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ68624Y | Other | CA | BLUE SHIELD |
| 1871534636 | Other | CA | BLUE CROSS |
| P01016324 | Other | CA | RR MEDICARE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G84622 | CA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gerald M. Pohost, MD, Inc. | Past | Accepting new patients | |
| Usc Care Medical Group, Inc | Past | Accepting new patients |
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.
-
- Specialist
- Glendale, CA
- NPI 1396027892
-
- General Practice Physician
- Los Angeles, CA
- NPI 1902846306
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1871534636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 NORTH MAYFAIR ROAD",
"address_2": "SUITE 200",
"city": "WAUWATOSA",
"state": "WI",
"postal_code": "532262252",
"telephone_number": "414-258-9511",
"fax_number": "414-607-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WILSON TERRACE",
"address_2": "SUITE 150",
"city": "GLENDALE",
"state": "CA",
"postal_code": "612064007",
"telephone_number": "818-409-3501",
"fax_number": "818-956-7680"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POHOST",
"first_name": "GERALD",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "CA",
"license": "G86422",
"primary": true
},
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "CA",
"license": "G84622",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "ZZZ68624Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1871534636",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01016324",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.