Individual provider Active NPI

Henry C Pollack, MD

  • Pediatric Emergency Medicine (Emergency Medicine) Physician
  • Greenbrae, CA
National Provider Identifier
1356357388
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X
License
A77462 Issued in CA
Practice address
250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone
(415) 925-7592
Fax
(415) 925-7009
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A77462 CA
Pediatrics Physician 208000000X A77462 CA
Pediatric Emergency Medicine (Emergency Medicine) Physician 207PP0204X A77462 CA Primary

Addresses

Primary practice location

250 Bon Air Rd
Greenbrae, CA 94904-1702

Mailing address

250 Bon Air Rd
Greenbrae, CA 94904-1702
Phone (415) 925-7592

Other practice location 1

9300 Valley Childrens Pl
Madera, CA 93638-8761
Phone (330) 493-4443

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060905000294 CA Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 8325042377 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A77462CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Queens Medical Center CurrentSince Jul 20, 2021 Accepting new patients
San Francisco Emergency Medical Associates Emergency Medicine CurrentSince Oct 1, 2022 Accepting new patients
North Hawaii Community Hospital, Inc. CurrentSince Jun 13, 2021 Accepting new patients
Cep America - California Emergency Medicine CurrentSince May 15, 2025 Accepting new patients
Cep America-California Emergency Medicine CurrentSince May 15, 2025 Accepting new patients
Regents Univ of California UCSF Pediatrics CurrentSince Jul 25, 2024 Accepting new patients
Queens University Medical Group CurrentSince Apr 22, 2022 Accepting new patients
The Queens Medical Center CurrentSince Jul 20, 2021 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jun 13, 2021 Accepting new patients
The Queen's Medical Center Current Accepting new patients
Cep America - California Emergency Medicine Current Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Valley Children's Medical Group Pediatrics Past Accepting new patients

Locations

250 Bon Air Rd
Kentfield, CA 94904
Phone (415) 464-1350

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

Interoperability endpoints

  • Direct secure messaging: hpollack378935@hisp.ehr.sutterhealth.org
  • Direct secure messaging: hpollackiii371766@direct-ucsfmedicalcenter.org
  • Direct secure messaging: cpollack17701@valleychildrens-prd.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1356357388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7592",
            "fax_number": "415-925-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "415-925-7592",
            "fax_number": "415-925-7009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9300 Valley Childrens Pl",
            "address_purpose": "LOCATION",
            "city": "Madera",
            "state": "CA",
            "postal_code": "936388761",
            "country_code": "US",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLLACK",
        "first_name": "HENRY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A77462",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A77462",
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "CA",
            "license": "A77462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.