Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELLIOTT P VICHINSKY MD
NPI 1932147840
Pediatrics - Pediatric Hematology-Oncology in Oakland, CA

Active since June 03, 2006PECOS Enrolled
747 52ND ST, OAKLAND, CA 94609(510) 428-3651(510) 450-5647 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elliott P Vichinsky Md NPPES

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

ELLIOTT P VICHINSKY MD (NPI 1932147840) is an individual pediatric hematology-oncology provider in Oakland, California, licensed in California (G38667) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932147840
Entity TypeIndividualMale
Primary Taxonomy2080P0207X
Provider Legal NameELLIOTT P VICHINSKYCredential: MD
Location Address747 52ND STOakland, CA 94609-1809
Mailing Address747 52nd StOakland, CA 94609-1809 · (510) 428-3651 · Fax (510) 450-5647
Fax(510) 450-5647
Sole ProprietorNo
Enumeration DateJune 3, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1932147840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0207X
License Licensed in CA · G38667
Definition
A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
747 52ND ST, Oakland, CA 94609

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Elliott P Vichinsky Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Registered Nurse (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Pediatrics (Pediatric Hematology-Oncology)
747 52ND ST
OAKLAND, CA 94609
Pediatrics
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
Student in an Organized Health Care Education/Training Program
747 52ND ST
OAKLAND, CA 94609
Nurse Practitioner (Pediatrics)
747 52ND ST
OAKLAND, CA 94609
General Acute Care Hospital
747 52ND ST
OAKLAND, CA 94609

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 Elliott Vichinsky's NPI number?

The NPI number for Elliott Vichinsky is 1932147840. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Elliott Vichinsky located?

Elliott Vichinsky practices at 747 52nd St, Oakland, CA 94609. The listed phone number is (510) 428-3651.

What is Elliott Vichinsky's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.

Is Elliott Vichinsky enrolled in Medicare?

Yes. Elliott Vichinsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elliott Vichinsky was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.