Organization Active NPI

Tolboe Foot & Ankle, Inc., a Podiatric Medical Corporation

  • Foot & Ankle Surgery Podiatrist
  • Modesto, CA
National Provider Identifier
1255871125
Registry record updated Oct 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E2549 Issued in CA
Legal business name
TOLBOE FOOT & ANKLE, INC., A PODIATRIC MEDICAL CORPORATION
Practice address
1401 Spanos Court
Suite #104
Modesto, CA 95355-2811
Phone
(209) 525-3150
Fax
(209) 515-3153
NPI assigned
Feb 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2022

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

Authorized official

Name
Dr. H. Rand Tolboe, DPM
Title
Ceo
Phone
(209) 525-3150

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X E2549 CA Primary

Addresses

Primary practice location

1401 Spanos Court
Suite #104
Modesto, CA 95355-2811

Mailing address

1401 Spanos Court
Suite #104
Modesto, CA 95355-2811
Phone (209) 525-3150

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1488153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665100800000",
    "number": "1255871125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS COURT",
            "address_2": "SUITE #104",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552811",
            "telephone_number": "209-525-3150",
            "fax_number": "209-515-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS COURT",
            "address_2": "SUITE #104",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552811",
            "telephone_number": "209-525-3150",
            "fax_number": "209-515-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLBOE FOOT & ANKLE, INC., A PODIATRIC MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-27",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A",
        "authorized_official_last_name": "TOLBOE",
        "authorized_official_first_name": "H.",
        "authorized_official_middle_name": "RAND",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-525-3150",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E2549",
            "primary": true
        }
    ],
    "identifiers": [],
    "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.

Verify at the official NPI Registry.