Active NPI
Polina Feygin, M.D.
- Pediatrics Physician
- Rancho Palos Verdes, CA
National Provider Identifier
1962569616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G67378
- Practice address
- 30822 Via Rivera
Rancho Palos Verdes, CA 90275-5343 - Phone
- (310) 619-9528
- Fax
- (310) 206-0209
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G67378 | CA | Primary |
Addresses
Primary practice location
30822 Via Rivera
Rancho Palos Verdes, CA 90275-5343
Mailing address
30822 Via Rivera
Rancho Palos Verdes, CA 90275-5343
Phone (310) 619-9528
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G673780 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Rush Medical College of Rush University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1110 W Anaheim St
Suite 6
Wilmington, CA 90744-4131
Phone (310) 872-3560
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G67378 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total Care Medical Clinic Inc | Current | Accepting new patients | |
| Pediatric Hospitalists of America | Past | Accepting new patients |
Locations
10024 S Vermont Ave
Los Angeles, CA 90044
Phone (323) 242-0139
1110 W Anaheim St
Ste 6
Wilmington, CA 90744
Phone (310) 753-2468
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
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.
-
- Community Health Clinic/Center
- Wilmington, CA
- NPI 1801154463
-
- Pediatric Critical Care Medicine Physician
- Long Beach, CA
- NPI 1508968413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962569616",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30822 VIA RIVERA",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755343",
"telephone_number": "310-619-9528",
"fax_number": "310-206-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30822 VIA RIVERA",
"city": "RANCHO PALOS VERDES",
"state": "CA",
"postal_code": "902755343",
"telephone_number": "310-619-9528",
"fax_number": "310-206-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FEYGIN",
"first_name": "POLINA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G67378",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G673780",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Palos Verdes, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.