Individual provider Active NPI

Mary Louise Toledo

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1114786977
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026286 Issued in CA
Practice address
32420 Road 127 Unit B
Visalia, CA 93291-9049
Phone
(559) 972-9215
NPI assigned
Mar 15, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95026286 CA Primary

Addresses

Primary practice location

32420 Road 127 Unit B
Visalia, CA 93291-9049

Mailing address

32420 Road 127 Unit B
Visalia, CA 93291-9049
Phone (559) 972-9215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240924003912 CA Practitioner - Nurse Practitioner 3375084866 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health CurrentSince Aug 1, 2024 Accepting new patients
Altura Centers for Health Current Accepting new patients
Altura Centers for Health CurrentSince Aug 1, 2024 Accepting new patients

Locations

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

16686 Road 168
Woodville, CA 93257
Phone (559) 686-9097

Interoperability endpoints

  • Direct secure messaging: mary.toledo.p1@direct.altura.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1114786977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32420 ROAD 127 UNIT B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919049",
            "telephone_number": "559-972-9215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32420 ROAD 127 UNIT B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919049",
            "telephone_number": "559-972-9215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "MARY",
        "middle_name": "LOUISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-15",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.