INDYANA POLLEY
NPI 1679036644
Physician Assistant in Modesto, CA

Active since April 08, 2019
1431 MCHENRY AVE STE 100, MODESTO, CA 95350(209) 579-2300 Get Directions Write a Review

NPPES record last updated: April 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2022, Jul 15, 2020, Aug 23, 2019 and 1 more (4 updates tracked since 2019).

About Indyana Polley NPPES

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

INDYANA POLLEY (NPI 1679036644) is an individual physician assistant in Modesto, California, licensed in California (PA57094) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1679036644
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameINDYANA POLLEY
Location Address1431 MCHENRY AVE STE 100Modesto, CA 95350-4534
Mailing Address1691 The AlamedaSan Jose, CA 95126-2203 · (408) 287-7526
Sole ProprietorNo
Enumeration DateApril 8, 2019
Last NPPES UpdateApril 22, 20224 updates tracked since enumeration
NPPES CertifiedApril 22, 2022
NPI 1679036644 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 · PA57094
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.
1431 MCHENRY AVE STE 100, Modesto, CA 95350

Other Providers at the Same Location NPPES 6

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

Registered Nurse
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Nurse Practitioner (Family)
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Registered Nurse
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Nurse Practitioner
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Nurse Practitioner (Women's Health)
1431 MCHENRY AVE STE 100
MODESTO, CA 95350
Registered Nurse
1431 MCHENRY AVE STE 100
MODESTO, CA 95350

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 Indyana Polley's NPI number?

The NPI number for Indyana Polley is 1679036644. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Indyana Polley located?

Indyana Polley practices at 1431 Mchenry Ave Ste 100, Modesto, CA 95350. The listed phone number is (209) 579-2300.

What is Indyana Polley'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 Indyana Polley was last updated on April 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.