Devynn Polochak

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

687935 Issued in CA

Practice address

232 E Gish Rd
San Jose, CA 95112-4706

Phone

(408) 355-0373

NPI assigned

May 23, 2018

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1770074999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 GRANDPARK CIR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951362155",
            "telephone_number": "408-509-9260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E GISH RD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951124706",
            "telephone_number": "408-355-0373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLOCHAK",
        "first_name": "DEVYNN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-23",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "687935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Lee Polifrone
• Tara Filsuf Pollack, MD
• Carol Lynn Pollard, ASW
• Dylan Michael Pollock
• Janessa Pollock
• Nathaniel Polussa
• Nicholas Polussa
• Geraldine Polvos
• Leebo Pomele
• Ponca Dialysis LLC (Tully Road Home Training)

• Licensed Vocational Nurse in San Jose, CA
• Providers in San Jose, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; 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.