Active NPI
H Rand Tolboe, DPM
- Foot & Ankle Surgery Podiatrist
- Modesto, CA
National Provider Identifier
1124020102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2549
- Practice address
- 1401 Spanos CT
Suite 104
Modesto, CA 95355-2810 - Phone
- (209) 525-3150
- Fax
- (209) 525-3153
- NPI assigned
- Aug 10, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | E2549 | CA | Primary |
Addresses
Primary practice location
1401 Spanos CT
Suite 104
Modesto, CA 95355-2810
Mailing address
1401 Spanos CT
Suite 104
Modesto, CA 95355-2810
Phone (209) 525-3150
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000E25490 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2549 | CA | MD | Foot & Ankle Surgery Podiatrist |
| 2549 | CA | MD | Pediatric Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emanuel Medical Center, Inc. | Past | Accepting new patients | |
| Sutter Valley Hospitals | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1174615330
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1699129601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1124020102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 SPANOS CT",
"address_2": "SUITE 104",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552810",
"telephone_number": "209-525-3150",
"fax_number": "209-525-3153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 SPANOS CT",
"address_2": "SUITE 104",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552810",
"telephone_number": "209-525-3150",
"fax_number": "209-525-3153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLBOE",
"first_name": "H RAND",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000E25490",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.