MARY C. POLKOSKI PA-C
NPI 1306029343
Physician Assistant in San Diego, CA

Q: What is Mary Polkoski's NPI number?

The NPI number for Mary Polkoski is 1306029343. It was assigned to this individual provider in the NPPES registry on December 13, 2007.

Q: What is Mary Polkoski's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Polkoski was last updated on March 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since December 13, 2007

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 556-5936(619) 556-5936 Get Directions Write a Review

NPPES record last updated: March 13, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mary C. Polkoski Pa-c NPPES

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

MARY C. POLKOSKI PA-C (NPI 1306029343) is an individual physician assistant in San Diego, California, licensed in California (19526) and active in the NPI registry since December 2007.

NPPES Registry Identity

NPI1306029343

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMARY C. POLKOSKICredential: PA-C

Location Address34800 BOB WILSON DRSan Diego, CA 92134-1098

Mailing Address34800 Bob Wilson DrSan Diego, CA 92134-1098 · (619) 556-5936 · Fax (619) 556-5936

Phone(619) 556-5936

Fax(619) 556-5936

Sole ProprietorNo

Enumeration DateDecember 13, 2007

Last NPPES UpdateMarch 13, 2011

✔ NPI 1306029343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in CA · 19526

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

34800 BOB WILSON DR, San Diego, CA 92134

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