Edwin Colloff, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G34055 Issued in CA

Practice address

866 Campus Dr
Palo Alto, CA 94305-8508

Phone

(650) 498-2336

NPI assigned

Sep 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1851498489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-498-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "866 CAMPUS DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943058508",
            "telephone_number": "650-498-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLOFF",
        "first_name": "EDWIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G34055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G340550",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allison Collins, M.D.
• Andrew Bernard Collins, MD
• Margaret Galloway Collins, D.D.S.
• Roy Lester Collins IV, MD
• Sean Collins
• Ruben Jonas Colman, M.D.
• Natalia Colocci, MD
• Jonathan Taylor Colston, MD
• Community Center for Health and Wellness
• Community Housing Inc.

• Internal Medicine Physician in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.