Polina Pavlova, FNP-BC - Medicare Nurse Practitioner in Alpine, CA

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Polina Pavlova, FNP-BC is a medicare enrolled "Nurse Practitioner" in Alpine, California. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southern California Permanente Medical Group and her current practice location is 1730 Alpine Blvd Ste 205, Alpine, California. You can reach out to her office (for appointments etc.) via phone at (619) 326-4445.

Polina Pavlova is licensed to practice in California (license number 95009998) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1386119881.

Contact Information

Polina Pavlova, FNP-BC
1730 Alpine Blvd Ste 205,
Alpine, CA 91901-3878
(619) 326-4445
(619) 722-1721

Map and Direction




Provider's Profile

Full NamePolina Pavlova
GenderFemale
SpecialityNurse Practitioner
Experience6 Years
Location1730 Alpine Blvd Ste 205, Alpine, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Polina Pavlova graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1386119881
  • Provider Enumeration Date: 10/10/2018
  • Last Update Date: 11/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 5799107504
  • Enrollment ID: I20200624002609

Medical Identifiers

Medical identifiers for Polina Pavlova such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386119881NPI-NPPES
822420OtherCACALIFORNIA BOARD OF REGISTERED NURSING
95009998OtherCACALIFORNIA BOARD OF REGISTERED NURSING NP LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 95009998 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kaiser Foundation Hospital - ZionSan diego, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southern California Permanente Medical Group60027291758172

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Polina Pavlova allows following entities to bill medicare on her behalf.
Entity NameSouthern California Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770515280
PECOS PAC ID: 6002729175
Enrollment ID: O20031110000678
Entity NameSomagen Healthcare Ii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316225147
PECOS PAC ID: 4981877735
Enrollment ID: O20111024000461
Entity NameSomagen Healthcare Iii Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558788620
PECOS PAC ID: 8921225830
Enrollment ID: O20140815001327
Entity NameLompoc Hospitalist Group Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891335717
PECOS PAC ID: 8426470832
Enrollment ID: O20200611002650

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Polina Pavlova is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Polina Pavlova, FNP-BC
3555 Caminito El Rincon Unit 221,
San Diego, CA 92130-3501

Ph: (619) 632-7915		Polina Pavlova, FNP-BC
1730 Alpine Blvd Ste 205,
Alpine, CA 91901-3878

Ph: (619) 326-4445

Reviews and Comments


Nurse Practitioner Nurses in Alpine, CA

Ms. Barbara Lee Lacuesta, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1730 Alpine Blvd, Alpine, CA 91901
Phone: 619-326-4445    
Brandon Rey Martinez, MSN, PMHNP-BC, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2120 Alpine Blvd, Alpine, CA 91901
Phone: 702-526-7610    
Ms. Dianne Javier Malabanan, MSN, FNP-BC, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901
Phone: 619-326-4445    Fax: 619-722-1721
Mary Allison Redden, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1832 Alpine Blvd, Alpine, CA 91901
Phone: 619-326-4445    
Cari Nickson, A-GNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2142 Alpine Glen Pl, Alpine, CA 91901
Phone: 619-228-5817    
Teresa Michelle Hurley, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1620 Alpine Boulevard, Alpine, CA 91901
Phone: 619-445-6200    Fax: 619-320-3347

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.