AMY C. POLVERINI MD – NPI #1073760815
Surgery

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

Health Care Provider Taxonomy Code for Surgery

AMY POLVERINI is a surgeon located in SOUTH PASADENA, CA. NPPES has assigned the NPI number 1073760815 to AMY POLVERINI on August 22, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2086X0206X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Surgical Oncology

The NPI profile was previously updated about 4 years ago on Jun 28, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AMY POLVERINI below.

NPI Profile for
AMY C. POLVERINI

NPI Number
1073760815
Enumeration Date

(about 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
AMY C. POLVERINI
Credentials
MD
Primary location
209 FAIR OAKS AVE
SOUTH PASADENA, CA 91030-1814
Phone: (626) 396-2900 Fax:
2 Other location(s):
625 S Fair Oaks Ave Ste And380
Pasadena, CA 91105-2613
Phone: (424) 314-0177
Fax: (424) 314-0180
1000 W Carson St
Box 461
Torrance, CA 90502-2004
Phone: (310) 222-2700
Fax: (310) 533-1841
Mailing address
PO BOX 512185
LOS ANGELES, CA 90051-0185
Phone: (626) 775-3514 Fax:
Sole Proprietor
No
Updated
Certification Date
Jun 28, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2086X0206X
- Surgery / Surgical Oncology (Primary)		 CA A111253
208600000X
- Surgery		 CA A111253

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
Affiliation
Y
Endpoint Location
209 FAIR OAKS AVE,
SOUTH PASADENA, CA 77025-1669

Additional Information

Education
UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE - Graduated 2008
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
AMY POLVERINI is affiliated with the following medical group(s):
  • HOSPITAL
    • HUNTINGTON HOSPITAL
      100 W CALIFORNIA BLVD
      PASADENA, CA 91109

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.