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

Phillip Willie Tan Polido, MD

Individual provider Surgery Physician · NPI 1245320001

Phillip Willie Tan Polido, MD is a Surgery Physician in Antioch, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
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

2350 Country Hills Dr Ste A
Antioch, CA 94509-7436
Phone: (925) 757-0800
Fax: (925) 757-2160
Show map & directions

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

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence A32794 (CA)

Record details

NPI number1245320001
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 13, 2006
Last updated in NPPESFebruary 12, 2021
Certification dateFebruary 12, 2021

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