Individual provider Active NPI

Gerald M. Pohost, MD

  • Cardiovascular Disease Physician
  • Glendale, CA
National Provider Identifier
1871534636
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G86422 Issued in CA
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

Updated by the provider on May 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
ZZZ68624YOtherCABLUE SHIELD
1871534636OtherCABLUE CROSS
P01016324OtherCARR 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

LicenseStateTypeSpecialty
G84622CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald M. Pohost, MD, Inc. PastSince Sep 7, 2011 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.

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.

Verify at the official NPI Registry.