MEDICARE: POLLOCK PINES ELEMENTARY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	09-61660	OTHER	CA	MEDI-CAL

General Provider Information

NPI Number	:	1447317128
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POLLOCK PINES ELEMENTARY

Provider Business Mailing Address
First Line	:	2777 DEL MONTE ST
Second Line	:
City	:	WEST SACRAMENTO
State	:	CA
Zip	:	95691-3811
Country	:	US
Telephone Number	:	916-375-1707
Fax Number	:

Provider Business Practice Location Address
First Line	:	6181 PINE ST # A
Second Line	:
City	:	POLLOCK PINES
State	:	CA
Zip	:	95726-9608
Country	:	US
Telephone Number	:	530-644-5417
Fax Number	:

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	MOLLY HELMS
Credential	:
Telephone Number	:	530-644-5417

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1689055816 — MELISSA SIMPSON LPC
Practice Location Address:

7319 COPPER SKY WAY
CASTLE PINES, CO
80108-9608

Practice Phone: 678-559-6158
Practice Fax:

1932141769 — LONGS DRUG STORES CALIFORNIA LLC
Practice Location Address:

6450 PONY EXPRESS TRL
POLLOCK PINES, CA
95726-9601

Practice Phone: 530-647-8013
Practice Fax: 530-647-1207

1235168279 — SAFEWAY INC
Practice Location Address:

6498 PONY EXPRESS TRL
POLLOCK PINES, CA
95726-9604

Practice Phone: 530-647-7449
Practice Fax: 530-647-7454

1952406878 — MICHAEL D AVENI DC
Practice Location Address:

6023 PONY EXPRESS TR
POLLOCK PINES, CA
95726

Practice Phone: 530-644-3051
Practice Fax: 530-644-7337

1932295714 — DR. JOSEPH CREE TAYLOR MD
Practice Location Address:

3942 PEARL ROAD
POLLOCK PINES, CA
95726

Practice Phone: 530-644-4069
Practice Fax:

1699899708 — MR. ROBERT JOHN STADELHOFER CAS
Practice Location Address:

5494 PONY EXPRESS TRAIL
POLLOCK PINES, CA
95726

Practice Phone: 530-644-3758
Practice Fax:

Directions to “POLLOCK PINES ELEMENTARY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.