Organization Active NPI

JD Pollard MD PC

  • General Practice Physician
  • Redwood City, CA
National Provider Identifier
1699658310
Registry record updated Jul 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
JD POLLARD MD PC
Practice address
1690 Woodside Rd
Ste 120
Redwood City, CA 94061-3402
Phone
(650) 779-0036
NPI assigned
Jul 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2025

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

Authorized official

Name
Dr. Jeffrey Dieker Pollard, M.D.NPI 1053565465
Title
President
Phone
(650) 779-0036

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

1690 Woodside Rd
Ste 120
Redwood City, CA 94061-3402

Mailing address

110 Skyline RDG
Los Gatos, CA 95033-9526
Phone (650) 796-4733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250915004269 CA Part B Supplier - Clinic/Group Practice 1759885676 Receives reassigned benefits from 1 practitioner
Practice locations: Redwood City, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2306661JD Pollard, MD, PC Dba Gameday Men'S Health1690 Woodside Rd Ste 120, Redwood City, CA 94061AccreditationJul 21, 2027

National Provider Directory

National Provider Directory

Locations

1690 Woodside Rd
Ste 120
Redwood City, CA 94061
Phone (650) 779-0036

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1753747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753747200000",
    "number": "1699658310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SKYLINE RDG",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950339526",
            "telephone_number": "650-796-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1690 WOODSIDE RD",
            "address_2": "STE 120",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613402",
            "telephone_number": "650-779-0036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD POLLARD MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-29",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A",
        "authorized_official_last_name": "POLLARD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "DIEKER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-779-0036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.