Jose Polido, DDS
NPI 1104912377 · Pediatric Dentistry · Los Angeles, CA
Enrolled with Medicare as Practitioner - Oral Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Polido, DDS is a Pediatric Dentistry provider in Los Angeles, CA (NPI 1104912377).
Provider details
- NPI number
- 1104912377
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 39870 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-10-05
- Last updated
- 2013-03-18
Frequently asked questions
- What is Jose Polido's NPI number?
- Jose Polido's National Provider Identifier (NPI) is 1104912377, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Polido's specialty?
- Jose Polido is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Jose Polido located?
- Jose Polido's practice location on file with NPPES is 4650 W Sunset Blvd, Los Angeles, CA 90027-6062.
- What is Jose Polido's phone number?
- The practice phone number listed in the NPPES registry for Jose Polido is (323) 361-2130.
- Does Jose Polido accept Medicare?
- Jose Polido is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Polido's NPI active?
- Yes — Jose Polido's NPI (1104912377) is active in the NPPES registry as of the last update on 2013-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.