Individual provider Active NPI

Charles Pollick, M.D.

  • Cardiovascular Disease Physician
  • Los Angeles, CA
National Provider Identifier
1982698759
Registry record updated Apr 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A51040 Issued in CA
Practice address
1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017-4807
Phone
(213) 977-7422
Fax
(213) 250-8945
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X A51040 CA Primary

Addresses

Primary practice location

1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017-4807

Mailing address

1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017-4807
Phone (213) 977-7422

Other identifiers 2

IdentifierTypeStateIssuer
060039884OtherCAMEDICARE RAILROAD
00A510400MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100305000164 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear MedicinePractitioner - Infectious DiseasePractitioner - Other (Physician) 8729984315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Infectious Disease, Nuclear Medicine
Education
Birmingham Medical College, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

18133 Ventura Blvd
Suite 300
Tarzana, CA 91356-3645
Phone (818) 994-0101

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-3277

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.23 of 100Reported as group
Quality
77.83
Promoting interoperability
98
Improvement activities
40
Cost
71.17

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
51040CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 1, 2022 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Sep 1, 2018 Accepting new patients
Renaissance Imaging Medical Associates, Inc. CurrentSince Aug 22, 2017 Accepting new patients
Los Angeles Cardiology Associates Past Accepting new patients

Locations

200 N Robertson Blvd
Ste 101
Beverly Hills, CA 90211
Phone (310) 385-3200

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050

1245 Wilshire Blvd
Ste 703
Los Angeles, CA 90017
Phone (213) 977-0419

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

500 S Virgil Ave
Ste 102
Los Angeles, CA 90020
Phone (323) 375-3950

1401 S Grand Ave
Los Angeles, CA 90015
Phone (213) 742-5555

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2626 N California St
Ste B
Stockton, CA 95204
Phone (209) 466-2626

18133 Ventura Blvd
Ste 300
Tarzana, CA 91356
Phone (310) 423-8888

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: cpollick182594@direct.cshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397692800000",
    "number": "1982698759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174807",
            "telephone_number": "213-977-7422",
            "fax_number": "213-250-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 WILSHIRE BLVD",
            "address_2": "STE 703",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900174807",
            "telephone_number": "213-977-7422",
            "fax_number": "213-250-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLICK",
        "first_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2014-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A51040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060039884",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A510400",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.