Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David Allen Polstra, ACNPC-AG

Individual provider Nurse Practitioner · NPI 1598251498

David Allen Polstra, ACNPC-AG is a Nurse Practitioner in Los Angeles, California. Qualified in 2018, 8 years ago. Practices with South Sound Inpatient Physicians PLLC, a 427-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
8
Licensed in
CA, WA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

1401 S Grand Ave
Los Angeles, CA 90015-3010
Phone: (213) 748-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Acute Care Hospital (primary) Taxonomy 282N00000X · Licence 95009210 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61493227 (WA)

Record details

NPI number1598251498
Entity typeIndividual (Type 1)
GenderMale
Credentials ACNPC-AG
Sole proprietorYes
NPI enumeratedJuly 3, 2018
Last updated in NPPESOctober 20, 2023
Certification dateOctober 20, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice South Sound Inpatient Physicians Pllc — 427 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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