Active NPI
John F. Polito, M.D.
- Obstetrics & Gynecology Physician
- San Leandro, CA
National Provider Identifier
1952489965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- G38953
- Practice address
- 1300 Bancroft Ave
Suite G 4
San Leandro, CA 94577-5147 - Phone
- (510) 483-1234
- Fax
- (510) 483-1099
- NPI assigned
- Nov 1, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | G38953 | CA | Primary |
Addresses
Primary practice location
1300 Bancroft Ave
Suite G 4
San Leandro, CA 94577-5147
Mailing address
1300 Bancroft Ave
Suite G 4
San Leandro, CA 94577-5147
Phone (510) 483-1234
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G389530 | Medicaid | CA |
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 |
|---|---|---|---|
| G38953 | CA | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952489965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 BANCROFT AVE",
"address_2": "SUITE G 4",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775147",
"telephone_number": "510-483-1234",
"fax_number": "510-483-1099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 BANCROFT AVE",
"address_2": "SUITE G 4",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945775147",
"telephone_number": "510-483-1234",
"fax_number": "510-483-1099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POLITO",
"first_name": "JOHN",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "G38953",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G389530",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.