Active NPI
Ryan Alexander Capistrano Toledo
- Internal Medicine Physician
- San Francisco, CA
National Provider Identifier
1295430015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A208054
- Practice address
- 1545 Divisadero St
San Francisco, CA 94143-3400 - Phone
- (415) 353-7900
- Fax
- (415) 353-2405
- NPI assigned
- Apr 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | A208054 | CA | Primary |
Addresses
Primary practice location
1545 Divisadero St
San Francisco, CA 94143-3400
Mailing address
1545 Divisadero St
San Francisco, CA 94143-3400
Phone (415) 353-7900
Other practice location 1
1111 E McDowell Rd
Phoenix, AZ 85006-2612
Phone (602) 839-3644
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230524001732 | AZ | Order and Referring Only - Internal Medicine | 7517323181 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arizona College of Medicine, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1545 Divisadero St
San Francisco, CA 94143-3400
490 Illinoi St 6TH Floor RM
600A 6TH Floor
San Francisco, CA 94143
490 Illinois St
FL 6
San Francisco, CA 94143-2510
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A208054 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1295430015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941433400",
"telephone_number": "415-353-7900",
"fax_number": "415-353-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 DIVISADERO ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941433400",
"telephone_number": "415-353-7900",
"fax_number": "415-353-2405"
}
],
"practiceLocations": [
{
"address_1": "1111 E McDowell Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062612",
"country_code": "US",
"telephone_number": "602-839-3644",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLEDO",
"first_name": "RYAN",
"middle_name": "ALEXANDER CAPISTRANO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-04-03",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A208054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.