Individual provider Active NPI

Mark C Toledo, N.P.

  • Nurse Practitioner
  • Torrance, CA
National Provider Identifier
1457599441
Registry record updated Jan 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
628787 Issued in CA
Practice address
2340 Plaza del Amo
Suite 115
Torrance, CA 90501-3445
Phone
(310) 781-1414
Fax
(310) 781-1424
NPI assigned
Jan 28, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 628787 CA Primary

Addresses

Primary practice location

2340 Plaza del Amo
Suite 115
Torrance, CA 90501-3445

Mailing address

2340 Plaza del Amo
Suite 115
Torrance, CA 90501-3445
Phone (310) 781-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
628787CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cor Healthcare Medical Associates Nurse Practitioner Past Accepting new patients

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": "1233100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1457599441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PLAZA DEL AMO",
            "address_2": "SUITE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013445",
            "telephone_number": "310-781-1414",
            "fax_number": "310-781-1424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PLAZA DEL AMO",
            "address_2": "SUITE 115",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905013445",
            "telephone_number": "310-781-1414",
            "fax_number": "310-781-1424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "MARK",
        "middle_name": "C",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-28",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "628787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; 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.