Organization Active NPI

Marcelo Toledo DDS Inc

  • Dental Clinic/Center
  • Rialto, CA
National Provider Identifier
1386937753
Registry record updated Mar 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MARCELO TOLEDO DDS INC
Practice address
326 N Riverside Ave
Rialto, CA 92376-5926
Phone
(909) 875-1464
Fax
(909) 875-1467
NPI assigned
May 18, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2024

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

Authorized official

Name
Dr. Marcelo Gabriel Toledo, DDSNPI 1811192180
Title
President
Phone
(909) 319-3600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 54668 CA
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

326 N Riverside Ave
Rialto, CA 92376-5926

Mailing address

326 N Riverside Ave
Rialto, CA 92376-5926
Phone (909) 875-1464

Other practice location 1

1701 N Palm Canyon Dr Ste 2
Palm Springs, CA 92262-2958
Phone (760) 864-8793

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160113001482 CA Part B Supplier - Clinic/Group Practice 6901108539 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA; Rialto, CA

National Provider Directory

National Provider Directory

Locations

1701 N Palm Canyon Dr
Ste 2
Palm Springs, CA 92262
Phone (760) 864-8793

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710633600000",
    "number": "1386937753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765926",
            "telephone_number": "909-875-1464",
            "fax_number": "909-875-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765926",
            "telephone_number": "909-875-1464",
            "fax_number": "909-875-1467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Palm Canyon Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922622958",
            "country_code": "US",
            "telephone_number": "760-864-8793",
            "fax_number": "760-656-1747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARCELO TOLEDO DDS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2024-03-17",
        "certification_date": "2024-03-17",
        "status": "A",
        "authorized_official_last_name": "TOLEDO",
        "authorized_official_first_name": "MARCELO",
        "authorized_official_middle_name": "GABRIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-319-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "54668",
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.