Tom Polakow, RN, BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041386114 Issued in IL

Practice address

1300 Clay St Ste 600B
Oakland, CA 94612-1425

Phone

(415) 723-2170

NPI assigned

Sep 18, 2010

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

Practice roles

Locations

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

• Picniccare PC

  • Primary Care Clinic/Center
  • Oakland, CA
  • NPI 1942978960
  NPD

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

{
    "created_epoch": "1284768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1508174079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 S BASSWOOD RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600452808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 CLAY ST STE 600B",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121425",
            "telephone_number": "415-723-2170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLAKOW",
        "first_name": "TOM",
        "credential": "RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-18",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "247217-30",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041386114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Poggetti, L.C.S.W.
• Jacqueline A Pogue
• Elise Pohlhammer, OTR/L
• Pierrette Mimi Poinsett, MD
• Ponnaka Pok
• Maira Polanco-Hurtado
• Sydney Ann Polich
• James Francis Policy, MD
• Stephen Polin, MFT
• Clemente Polines

• Registered Nurse in Oakland, CA
• Providers in Oakland, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.