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

Individual provider Physician Assistant · NPI 1760733208

Jacqueline Polach, PA is a Physician Assistant in Fresno, California. Qualified in 2012, 14 years ago. Practices with Clovis Dermatology Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Licensed in
CA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone: (559) 450-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (CA)

Record details

NPI number1760733208
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 24, 2012
Last updated in NPPESApril 5, 2024
Certification dateApril 5, 2024
Mailing address11076 E Florence Peak Way, Clovis, CA 93619-4689

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Clovis Dermatology Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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