NPIMap

Individual provider Active NPI

Erqi Pollom

  • Radiation Oncology Physician
  • Palo Alto, CA
National Provider Identifier
1932475902
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
127028 Issued in CA
Practice address
875 Blake Wilbur Dr
Palo Alto, CA 94304-2205
Phone
(650) 498-6339
NPI assigned
Mar 23, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 127028 CA Primary

Addresses

Primary practice location

875 Blake Wilbur Dr
Palo Alto, CA 94304-2205

Mailing address

875 Blake Wilbur Dr
Palo Alto, CA 94304-2205

Other names 1

  • Erqi Liu Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170818002677 CA Practitioner - Radiation Oncology 6002188489 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Michigan Medical School, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

5725 W Las Positas Blvd
Pleasanton, CA 94588-4007

Hospital & facility affiliations

  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Stanford Health Care Tri-Valley Hospital, Pleasanton, CA, CCN 050283

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
127028CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Healthcare Alliance CurrentSince Jul 21, 2020 Accepting new patients
Stanford Health Care CurrentSince Jul 8, 2017 Accepting new patients
Stanford Health Care Current Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jul 8, 2017 Accepting new patients
Stanford Health Care CurrentSince Jul 8, 2017 Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Affinity Medical Group Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sanford Bismarck Past Accepting new patients
The Hospital Committee for the Livermore-Pleasanton Areas Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients

Locations

50 E Hamilton Ave
Ste 280
Campbell, CA 95008
Phone (408) 227-2646

1300 Crane St
Menlo Park, CA 94025
Phone (510) 785-5000

875 Blake Wilbur Dr
Palo Alto, CA 94304
Phone (650) 723-7621

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

5725 W Las Positas Blvd
Ste 100
Pleasanton, CA 94588

4725 1st St
Ste 100
Pleasanton, CA 94566
Phone (925) 462-7060

5725 W Las Positas Blvd
Ste 100B
Pleasanton, CA 94588
Phone (925) 621-7700

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Interoperability endpoints

  • Direct secure messaging: epollom78881@direct.stanfordhealthcare.org

Organizations & group practices 11

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1332460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1932475902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "875 BLAKE WILBUR DR",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943042205",
            "telephone_number": "650-498-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLLOM",
        "first_name": "ERQI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-23",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "127028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERQI",
            "last_name": "LIU",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.