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MRS. LARISSA JEAN POLES PA-C
NPI 1366687709
Physician Assistant in San Diego, CA

Active since December 15, 2008
3930 4TH AVE, SAN DIEGO, CA 92103(619) 297-9610 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Larissa Jean Poles Pa-c NPPES

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

MRS. LARISSA JEAN POLES PA-C (NPI 1366687709) is an individual physician assistant in San Diego, California, licensed in California (20111) and active in the NPI registry since December 2008.

NPPES Registry Identity

NPI1366687709
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. LARISSA JEAN POLESCredential: PA-C
Location Address3930 4TH AVESan Diego, CA 92103-3119
Mailing Address579 Via Del CaballoSan Marcos, CA 92078-8911 · (760) 212-2792
Phone(619) 297-9610
Sole ProprietorNo
Enumeration DateDecember 15, 2008
Last NPPES UpdateMarch 18, 2010
✔ NPI 1366687709 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 · 20111
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.
3930 4TH AVE, San Diego, CA 92103
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Other Providers at the Same Location NPPES 20

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

FRN SAN DIEGO LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
3930 4TH AVE, SUITE 300
SAN DIEGO, CA 92103
San Diego County (619) 849-6010
MRS. NICKI CHRISTINE KARLO PTA
Physical Therapy Assistant
3930 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 297-9610
VIVIENNE R SCHROEDER
Counselor (Mental Health)
3930 4TH AVE, #300
SAN DIEGO, CA 92103
San Diego County (619) 398-2441
MRS. DEBORAH LEE REDDEN PT
Physical Therapist (Orthopedic)
3930 4TH AVE, SUITE 200
SAN DIEGO, CA 92103
San Diego County (619) 297-9610
LINDSAY POOLE
Social Worker (Clinical)
3930 4TH AVE
SAN DIEGO, CA 92103
San Diego County (619) 542-9542
DR. WILLIAM CHARLES PAUL MD
Pediatrics
3930 4TH AVE, STE 200
SAN DIEGO, CA 92103
San Diego County (619) 297-9610
MS. GRACE SCHUTZE
Social Worker
3930 4TH AVE, SUITE# 300
SAN DIEGO, CA 92103
San Diego County (619) 398-2441
CHARLESIA KOSANKE
Social Worker
3930 4TH AVE, 300
SAN DIEGO, CA 92103
San Diego County (619) 398-2441

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 Larissa Poles's NPI number?

The NPI number for Larissa Poles is 1366687709. It was assigned to this individual provider in the NPPES registry on December 15, 2008.

Where is Larissa Poles located?

Larissa Poles practices at 3930 4th Ave, San Diego, CA 92103. The listed phone number is (619) 297-9610.

What is Larissa Poles's specialty?

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

When was this NPI record last updated?

The NPPES record for Larissa Poles was last updated on March 18, 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.