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DR. MARY KAY POLSEMEN D.C.
NPI 1275537177
Chiropractor - Nutrition in San Ramon, CA

Active since June 08, 2005Accepts Medicare Assignment
3150 CROW CANYON PL, STE 120, SAN RAMON, CA 94583(925) 830-8635(925) 830-8652 Get Directions Write a Review

NPPES record last updated: July 9, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mary Kay Polsemen D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MARY KAY POLSEMEN D.C. (NPI 1275537177) is an individual nutrition provider in San Ramon, California, licensed in California (23832) and active in the NPI registry since June 2005. She is a graduate of Palmer College Chiropractic - West Sunnyvale (1995).

NPPES Registry Identity

NPI1275537177
Entity TypeIndividualFemale
Primary Taxonomy111NN1001X
Provider Legal NameDR. MARY KAY POLSEMENCredential: D.C.
Location Address3150 CROW CANYON PL, STE 120San Ramon, CA 94583-1778
Mailing Address3150 Crow Canyon Pl, Ste 120San Ramon, CA 94583-1778 · (925) 830-8635 · Fax (925) 830-8652
Phone(925) 830-8635
Fax(925) 830-8652
Sole ProprietorYes
Medical School CMSPalmer College Chiropractic - West SunnyvaleGraduated 1995
Enumeration DateJune 8, 2005
Last NPPES UpdateJuly 9, 2010
✔ NPI 1275537177 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in CA · 23832
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
3150 CROW CANYON PL, San Ramon, CA 94583
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Other Identifiers 1

OtherCY272ACA · Medicare Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mary Kay Polsemen D.c. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365477866
PECOS Enrollment IDI20051004000498

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Chiropractic manipulative treatment, 3-4 spinal regions 98941
Chiropractic manipulative treatment for 3-4 spinal regions involves a trained professional applying controlled force to specific areas of your spine. This can help alleviate pain, improve physical function, and support your body's natural healing process.
173 services16 patients

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROSALIE ELLA WEATHERHEAD
Behavior Technician
3150 CROW CANYON PL
SAN RAMON, CA 94583
Contra Costa County (855) 295-3276
VICTORIA MOSTOVOY
Behavior Analyst
3150 CROW CANYON PL
SAN RAMON, CA 94583
Contra Costa County (925) 659-8851

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Kay Polsemen's NPI number?

The NPI number for Mary Kay Polsemen is 1275537177. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Mary Kay Polsemen located?

Mary Kay Polsemen practices at 3150 Crow Canyon Pl Ste 120, San Ramon, CA 94583. The listed phone number is (925) 830-8635.

What is Mary Kay Polsemen's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Mary Kay Polsemen enrolled in Medicare?

Yes. Mary Kay Polsemen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Kay Polsemen was last updated on July 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.