Individual provider Active NPI

Naty Madariaga Tolentino, MD

  • Internal Medicine Physician
  • Norco, CA
National Provider Identifier
1003008053
Registry record updated Aug 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A38545 Issued in CA
Practice address
Fifth Street & Western Avenue
California Rehabilitation Center
Norco, CA 92860-0991
Phone
(951) 737-2683
Fax
(951) 273-2318
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A38545 CA Primary

Addresses

Primary practice location

Fifth Street & Western Avenue
California Rehabilitation Center
Norco, CA 92860-0991

Mailing address

Fifth Street & Western Avenue
California Rehabilitation Center
Norco, CA 92860-0991
Phone (951) 737-2683

Other names 1

  • Naty Jalosjos Madariaga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A38545CAMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1003008053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "FIFTH STREET & WESTERN AVENUE",
            "address_2": "CALIFORNIA REHABILITATION CENTER",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600991",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "FIFTH STREET & WESTERN AVENUE",
            "address_2": "CALIFORNIA REHABILITATION CENTER",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928600991",
            "telephone_number": "951-737-2683",
            "fax_number": "951-273-2318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "NATY",
        "middle_name": "MADARIAGA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A38545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATY",
            "last_name": "MADARIAGA",
            "middle_name": "JALOSJOS",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.