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PHILLIP WILLIE TAN POLIDO M.D
NPI 1245320001
Surgery in Antioch, CA

Active since October 13, 2006
2350 COUNTRY HILLS DR STE A, ANTIOCH, CA 94509(925) 757-0800(925) 757-2160 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 12, 2021, Aug 29, 2017 (2 updates tracked since 2017).

About Phillip Willie Tan Polido M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILLIP WILLIE TAN POLIDO M.D (NPI 1245320001) is an individual surgery provider in Antioch, California, licensed in California (A32794) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1245320001
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePHILLIP WILLIE TAN POLIDOCredential: M.D
Location Address2350 COUNTRY HILLS DR STE AAntioch, CA 94509-7436
Mailing Address2350 Country Hills Dr Ste AAntioch, CA 94509-7436 · (925) 757-0800 · Fax (925) 757-2160
Phone(925) 757-0800
Fax(925) 757-2160
Sole ProprietorNo
Enumeration DateOctober 13, 2006
Last NPPES UpdateFebruary 12, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 12, 2021
✔ NPI 1245320001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in CA · A32794
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2350 COUNTRY HILLS DR STE A, Antioch, CA 94509
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Other Identifiers 2

Medicaid00A327940CA
Other020008734CA · Medicare Railroad

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAMID R. RASSAI
Surgery
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509
Contra Costa County (925) 757-0800
DENISE M. ROMERO M.D.
Orthopaedic Surgery
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509
Contra Costa County (925) 757-0800
JONATHAN LUM CHIN MD
Urology
2350 COUNTRY HILLS DR STE A
ANTIOCH, CA 94509
Contra Costa County (925) 779-9097

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phillip Polido's NPI number?

The NPI number for Phillip Polido is 1245320001. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Phillip Polido located?

Phillip Polido practices at 2350 Country Hills Dr Ste A, Antioch, CA 94509. The listed phone number is (925) 757-0800.

What is Phillip Polido's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Phillip Polido was last updated on February 12, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.