Active NPI
David Tiongco Prestosa, MD
- Student in an Organized Health Care Education/Training Program
- Richmond, VA
National Provider Identifier
1013237205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 0116022441
- Practice address
- 417 N 11TH St.
Im Internal Medicine
Richmond, VA 23298 - Phone
- (804) 828-8786
- NPI assigned
- Jun 10, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 0116022441 | VA | Primary |
Addresses
Primary practice location
417 N 11TH St.
Im Internal Medicine
Richmond, VA 23298
Mailing address
PO Box 980509
Im Internal Medicine
Richmond, VA 23298
Phone (804) 828-9726
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0116022441 | VA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1013237205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 980509",
"address_2": "IM INTERNAL MEDICINE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23298",
"telephone_number": "804-828-9726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 N 11TH ST.",
"address_2": "IM INTERNAL MEDICINE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23298",
"telephone_number": "804-828-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRESTOSA",
"first_name": "DAVID",
"middle_name": "TIONGCO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-10",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "VA",
"license": "0116022441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.