Look up the most recent NPI and PECOS records

Norman A. Gollub

Pediatrics

Allopathic & Osteopathic Physicians

2929 Health Center Dr, San Diego, CA 92123-2762

PECOS Enrollment

Based on the most recent information from CMS, provider Norman A. Gollub does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:29 PM.

Profile Details

Provider ID
1548270515
Provider Type
Individual
Full Name
Gollub, Norman A.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
8/9/2006
Last Updated
7/8/2007

Contact Information

Practice Location

2929 Health Center Dr, San Diego, CA 92123-2762

(858) 499-2701

Unlisted Fax

Mailing Location

2929 Health Center Dr, San Diego, CA 92123-2762

(858) 499-2701

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License G57693 California

Provider Identifiers

ID	Description	Issuer
ID 00G576930	Description Medicaid	Issuer Unlisted California

Norman A. Gollub

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Giboney, Jennifer Christine

Mcinnerney, Roman G.

Erfani, Seamae

Braddock, Adam Lawrence

Nguyen, Vi T.

Gracia, Michael Loy

Crow, Janet K

Wilcox, Graciela

Ball, Bruce Devon

Tam, Derek Chi-Fung