Marflorendo Macaltao

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F04210700 Issued in CA

Practice address

241 W Yosemite Ave
Manteca, CA 95336-5603

Phone

(209) 585-1066

NPI assigned

Sep 22, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Manteca Urgent Care, Inc

  • Family Medicine Physician
  • Manteca, CA
  • NPI 1780107888
  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632268800000",
    "number": "1053082776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2906",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953812906",
            "telephone_number": "209-585-1066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 W YOSEMITE AVE",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953365603",
            "telephone_number": "209-585-1066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACALTAO",
        "first_name": "MARFLORENDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "F04210700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Moosa M Lunat, M.D.
• Luxottica of America Inc (Target Optical #E620)
• Tint Lwin, MD
• Guile Z Ly
• M. Jacqueline Galang Inc.
• Noemi Estevez Macasinag, RNFA
• Mitchell James Maccready Jr., MD
• Clifton James Mackinnon, OT/L
• Donnabelle Salud Madayag
• Patricia Madrid

• Family Medicine Physician in Manteca, CA
• Providers in Manteca, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.