Stacey Aileen Pollom
SOUTHERN CALIFORNIA EMERGENCY MEDICINE


Address: 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Phone: 9097978900

Stacey Aileen Pollom (NPI# 1306379631, PAC ID# 8123394913) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.

Physician Overview

Nation Provider ID (NPI) 1306379631
PAC ID by PECOS 8123394913
Professional Enrollment ID I20171023002400
Full Name Stacey Aileen Pollom
Organization Legal Name SOUTHERN CALIFORNIA EMERGENCY MEDICINE
Address 33494 Oak Glen Rd
Yucaipa
CA 92399-2057
Phone Number 9097978900
Gender F
Medical School UNIVERSITY OF TENNESSEE COLLEGE OF MEDICINE
Graduation Year 2017
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 8628128196
Number of Group Practice Members 35
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
050129 ST BERNARDINE MEDICAL CENTER

Other Locations

Address Phone Organization
33494 Oak Glen Rd, Yucaipa, CA 92399-2057 9097978900 SOUTHERN CALIFORNIA EMERGENCY MEDICINE

Organization Information

Organization Legal Name SOUTHERN CALIFORNIA EMERGENCY MEDICINE
Physicians 39

Physicians with the same organization

Name Specialty Organization Address
Shelley Hasselman Nurse Practitioner Southern California Emergency Medicine 301 W Redlands Blvd, Redlands, CA 92373-4633
Travis Cruz Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Eric Song Physician Assistant Southern California Emergency Medicine 1181 S Mount Vernon Ave, Colton, CA 92324-4208
John Christian Fox Emergency Medicine Southern California Emergency Medicine 1295 Hamner Ave, Suite C, Norco, CA 92860-3161
Kevin Morris Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Nicholas M Walther Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Anthony M Pinner Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Lesley Laird Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Christie Smirl Nurse Practitioner Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Willie Rivera Landeros Physician Assistant Southern California Emergency Medicine 301 W Redlands Blvd, Redlands, CA 92373-4633

Office Location

Street Address 33494 OAK GLEN RD
City YUCAIPA
State CA
Zip 92399-2057

Physicians in the same location

Name Specialty Organization Address
Travis Cruz Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Kevin Morris Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Nicholas M Walther Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Anthony M Pinner Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Lesley Laird Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Christie Smirl Nurse Practitioner Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Alfonso Becerra Jr. Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
William C Inciso Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Jeffrey Cox Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Anthony Gonzales Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Alan H Lee Physical Therapy Adorador Enterprises 32819 Yucaipa Blvd C, Yucaipa, CA 92399-1944
Hala Azmi Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Tuyen Trinh Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Tiana A Davison Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Nicholas Kleen Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Elizabeth D Poss Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Michael J Reidinger Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Jennifer Fukasawa Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Bradley R Register Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Matthew Keane Physician Assistant Southern California Emergency Medicine 33494 Oak Glen Rd, Yucaipa, CA 92399-2057
Find all physicians in zip 92399

Competitor

Search similar physicians

City YUCAIPA
Zip Code 92399
Specialty NURSE PRACTITIONER
City + Specialty YUCAIPA + NURSE PRACTITIONER

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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