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EMMA LUCILLE POOL PA-C
NPI 1992642706
Physician Assistant in San Diego, CA

Active since April 30, 2026PECOS Enrolled
6719 ALVARADO RD STE 308, SAN DIEGO, CA 92120(619) 265-7912 Get Directions Write a Review

NPPES record last updated: April 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Emma Lucille Pool Pa-c NPPES

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

EMMA LUCILLE POOL PA-C (NPI 1992642706) is an individual physician assistant in San Diego, California, licensed in California (PA67703) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992642706
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameEMMA LUCILLE POOLCredential: PA-C
Location Address6719 ALVARADO RD STE 308San Diego, CA 92120-5268
Mailing Address5231 Augustana PlSan Diego, CA 92115-3514 · (309) 621-5429
Phone(619) 265-7912
Sole ProprietorNo
Enumeration DateApril 30, 2026
NPPES CertifiedApril 30, 2026
✔ NPI 1992642706 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 · PA67703
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.
6719 ALVARADO RD STE 308, San Diego, CA 92120
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Other Names 1

Former Name (1)Emma Lucille Bousky Pa-c

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emma Lucille Pool Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92120 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
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

AMELIA LUCKOW PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
DAVINA LAM
Physician Assistant (Surgical)
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
PHILIP J KRUEGER MD INC
Clinic/Center
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
SOPHEA BERGEN PA-C
Physician Assistant
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912
JEFFRY JACOB MERCADO M.D.
Physical Medicine & Rehabilitation
6719 ALVARADO RD STE 308
SAN DIEGO, CA 92120
San Diego County (619) 265-7912

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 Emma Pool's NPI number?

The NPI number for Emma Pool is 1992642706. It was assigned to this individual provider in the NPPES registry on April 30, 2026. The provider is also known as Emma Lucille Bousky Pa-C.

Where is Emma Pool located?

Emma Pool practices at 6719 Alvarado Rd Ste 308, San Diego, CA 92120. The listed phone number is (619) 265-7912.

What is Emma Pool's specialty?

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

Is Emma Pool enrolled in Medicare?

Yes. Emma Pool is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Emma Pool was last updated on April 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.