Ibody, Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

102111616 Issued in CA

Legal business name

IBODY, INC.

Practice address

956 Huntington Dr
San Marino, CA 91108-1825

Phone

(626) 628-6095

NPI assigned

Apr 24, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Tostado, M.D.NPI 1437328689

Title

Owner/Ceo

Phone

(626) 628-6095

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Roberto Tostado, MD

  • Specialist
  • San Marino, CA
  • NPI 1437328689
  Medicare reassignment Authorized official
• Teresa Avendano Tostado, NP

  • Family Nurse Practitioner
  • San Marino, CA
  • NPI 1922443373
  NPD

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1487098117",
    "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": "626-628-6095"
        },
        {
            "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": "626-628-6095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IBODY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "TOSTADO",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "626-628-6095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "102111616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boyao Huang, MD
• Jeffrey Huang, D.O.
• Ya-Gin Hanna Huang, MD
• Mei Huei Hung, ACUPUNCUTRIST
• I and S Hospice Care Inc
• Imperial Health Holdings, a Professional Medical Corporation
• Sandra Anne Ioele, CHIROPRACTOR
• Jeffrey Pan MD LLC
• Christine Jeng, PHARMD
• Jessica Choi, DMD, Dental Corporation (San Marino pediatric dentistry)

• Health Service Clinic/Center in San Marino, CA
• Providers in San Marino, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.