Individual provider · Type 1 NPI
Polly Rose A. Bacod, NP
Nurse Practitioner · Pasadena, CA
Practice location
100 W California Blvd
Pasadena, CA 91105-3010
Mailing address
22059 Windham Way
Santa Clarita, CA 91350-5745
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 565027 (CA) |
| Nurse Practitioner Primary | 363L00000X | 95017273 (CA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1568050367
Polly Rose A. Bacod, NP's National Provider Identifier is 1568050367, issued on Jan 6, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Pasadena, CA. The record was last updated on Apr 25, 2025.