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DR. GREGORY S POLYAKOV DDS
NPI 1881342038
Student in an Organized Health Care Education/Training Program in Calabasas, CA

Active since March 16, 2022PECOS Enrolled
4215 PRADO DE LOS PAJAROS, CALABASAS, CA 91302(818) 601-4734 Get Directions Write a Review

NPPES record last updated: March 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gregory S Polyakov Dds NPPES

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

DR. GREGORY S POLYAKOV DDS (NPI 1881342038) is an individual student in an organized health care education/training program in Calabasas, California and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881342038
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. GREGORY S POLYAKOVCredential: DDS
Location Address4215 PRADO DE LOS PAJAROSCalabasas, CA 91302-3618
Mailing Address4215 Prado De Los PajarosCalabasas, CA 91302-3618 · (818) 601-4734
Phone(818) 601-4734
Sole ProprietorNo
Enumeration DateMarch 16, 2022
NPPES CertifiedMarch 16, 2022
✔ NPI 1881342038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4215 PRADO DE LOS PAJAROS, Calabasas, CA 91302
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gregory S Polyakov Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Gregory Polyakov's NPI number?

The NPI number for Gregory Polyakov is 1881342038. It was assigned to this individual provider in the NPPES registry on March 16, 2022.

Where is Gregory Polyakov located?

Gregory Polyakov practices at 4215 Prado De Los Pajaros, Calabasas, CA 91302. The listed phone number is (818) 601-4734.

What is Gregory Polyakov's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Gregory Polyakov enrolled in Medicare?

Yes. Gregory Polyakov is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gregory Polyakov was last updated on March 16, 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.