Individual provider Active NPI

Roberto Tostado, MD

  • Specialist
  • San Marino, CA
National Provider Identifier
1437328689
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G77858 Issued in CA
Practice address
956 Huntington Dr
San Marino, CA 91108-1825
Phone
(626) 593-5993
Fax
(888) 551-5098
NPI assigned
Feb 21, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G77858 CA Primary

Addresses

Primary practice location

956 Huntington Dr
San Marino, CA 91108-1825

Mailing address

956 Huntington Dr
San Marino, CA 91108-1825
Phone (626) 593-5993

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050907001072 CA Practitioner - Family PracticePractitioner - Other (Physician)Practitioner - Preventive Medicine 4688584428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Preventive Medicine
Education
University of Michigan Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

956 Huntington Dr
San Marino, CA 91108-1825
Phone (626) 593-5993

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G77858CAMDSpecialist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1437328689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "956 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081825",
            "telephone_number": "626-593-5993",
            "fax_number": "888-551-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "956 HUNTINGTON DR",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081825",
            "telephone_number": "626-593-5993",
            "fax_number": "888-551-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOSTADO",
        "first_name": "ROBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-21",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G77858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marino, CA

Sources for this page

Verify at the official NPI Registry.