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DR. LETICIA A. POLANCO M.D.
NPI 1710956818
Family Medicine in Chula Vista, CA

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
525 3RD AVE, CHULA VISTA, CA 91910(858) 499-2600(619) 585-4390 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Leticia A. Polanco M.d. NPPES

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

DR. LETICIA A. POLANCO M.D. (NPI 1710956818) is an individual family medicine provider in Chula Vista, California, licensed in California (A76528) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2000).

NPPES Registry Identity

NPI1710956818
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. LETICIA A. POLANCOCredential: M.D.
Location Address525 3RD AVEChula Vista, CA 91910-5616
Mailing Address769 Medical Center Ct, Ste 303Chula Vista, CA 91911-6602 · (858) 499-2600 · Fax (619) 585-4390
Phone(858) 499-2600
Fax(619) 585-4390
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2000
Enumeration DateMarch 14, 2006
Last NPPES UpdateFebruary 19, 2020
✔ NPI 1710956818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A76528
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 3RD AVE, Chula Vista, CA 91910
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Other Identifiers 1

Medicaid00A765280CA

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. Leticia A. Polanco M.d. 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 ID1850386046
PECOS Enrollment IDI20040416001485
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
119 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
97 services59 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91910 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier17 claims17 services$29.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. PERRY V MONTOYA M.D
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (858) 499-2600
DR. GEORGE B. COLSON M.D.
Preventive Medicine (Occupational Medicine)
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 585-4050
MARY MCDERMOTT
Pharmacist
525 3RD AVE, SUITE A
CHULA VISTA, CA 91910
San Diego County (619) 420-7120
RAQUEL KNUTSON MMS, PA-C
Physician Assistant
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 585-4050
DAVID JAMES MALINAK MD
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (858) 499-2713
DR. PEDRO M SOUSA PHARMD
Pharmacist
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 420-7120
TOM-OLIVER KLEIN MD
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 499-2600
SHARP REES-STEALY MEDICAL GROUP INC
Internal Medicine
525 3RD AVE
CHULA VISTA, CA 91910
San Diego County (619) 446-1646

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 Leticia Polanco's NPI number?

The NPI number for Leticia Polanco is 1710956818. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Leticia Polanco located?

Leticia Polanco practices at 525 3rd Ave, Chula Vista, CA 91910. The listed phone number is (858) 499-2600.

What is Leticia Polanco's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Leticia Polanco enrolled in Medicare?

Yes. Leticia Polanco 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 Leticia Polanco was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.