Organization Active NPI

Tolentino & Tolentino M.D. Inc.

  • Family Medicine Physician
  • Parma, OH
National Provider Identifier
1508919523
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35039846-T Issued in OH
Legal business name
TOLENTINO & TOLENTINO M.D. INC.
Practice address
6681 Ridge Rd
Suite 304
Parma, OH 44129-5713
Phone
(440) 888-7922
Fax
(440) 888-7923
NPI assigned
Jan 21, 2007
Organization subpart
Yes
Parent organization
TOLENTINO & TOLENTINO M.D.'S INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Authorized official

Name
Dr. Lutgarda Cruz Tolentino, M.D.
Title
Owner
Phone
(440) 888-7922

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 35039846-T OH Primary

Addresses

Primary practice location

6681 Ridge Rd
Suite 304
Parma, OH 44129-5713

Mailing address

6681 Ridge Rd
Suite 304
Parma, OH 44129-5713
Phone (440) 888-7922

Other identifiers 1

IdentifierTypeStateIssuer
0334918MedicaidOH

National Provider Directory

National Provider Directory
Part of
Tolentino Tolentino MD Inc

Locations

6681 Ridge Rd
Ste 304
Parma, OH 44129
Phone (440) 888-7922

NPI Registry JSON

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

{
    "created_epoch": "1169337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1508919523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "SUITE 304",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-888-7922",
            "fax_number": "440-888-7923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6681 RIDGE RD",
            "address_2": "SUITE 304",
            "city": "PARMA",
            "state": "OH",
            "postal_code": "441295713",
            "telephone_number": "440-888-7922",
            "fax_number": "440-888-7923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLENTINO & TOLENTINO M.D. INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOLENTINO & TOLENTINO M.D.'S INC.",
        "enumeration_date": "2007-01-21",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "TOLENTINO",
        "authorized_official_first_name": "LUTGARDA",
        "authorized_official_middle_name": "CRUZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-888-7922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35039846-T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334918",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parma, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.