Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan A. Polikoff, MD

Individual provider Hematology & Oncology Physician · NPI 1497822332

Jonathan A. Polikoff, MD is an Internal Medicine in Longview, Washington. Graduated from Albany Medical College of Union University in 1977, 49 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
49
Trained at
Albany Medical College of Union University
Licensed in
CA, WA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1615 Delaware St
Longview, WA 98632-2367
Phone: (360) 414-7878
Fax: (360) 414-7876
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4647 Zion Ave, San Diego, CA 92120-2507 — (619) 528-5000
  • 505 Ne 87th Ave Ste 320, Vancouver, WA 98664-1965 — (360) 514-2550

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence MD61107981 (WA)
Hematology & Oncology Physician Taxonomy 207RH0003X · Licence G43519 (CA)

Record details

NPI number1497822332
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 29, 2006
Last updated in NPPESNovember 22, 2021
Certification dateJanuary 25, 2021
Mailing address4647 Zion Ave, San Diego, CA 92120-2507

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesHEMATOLOGY, HEMATOLOGY/ONCOLOGY
Medical schoolALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
Graduated 1977 (49 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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