Active NPI
H. Rand Tolboe, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Modesto, CA
National Provider Identifier
1184047813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- E2549
- Legal business name
- H. RAND TOLBOE, D.P.M.
- Practice address
- 1401 Spanos CT
Suite 104
Modesto, CA 95355-2810 - Phone
- (209) 525-3150
- Fax
- (209) 525-3153
- NPI assigned
- Jan 31, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Harold Rand Tolboe, D.P.M.
- Title
- Owner
- Phone
- (209) 525-3150
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 | Other | CA | MEDICARE PTAN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1391126400000",
"number": "1184047813",
"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": {
"organization_name": "H. RAND TOLBOE, D.P.M.",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A",
"authorized_official_last_name": "TOLBOE",
"authorized_official_first_name": "HAROLD",
"authorized_official_middle_name": "RAND",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-525-3150",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "CA",
"license": "E2549",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"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 Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.