Abel Cesar Toledo M.D. Inc.
Organization Active NPI Primary Care Clinic/Center · Chula Vista, CA
NPI 1801037858 · NPPES record last updated Mar 19, 2009
Key facts
- NPI
- 1801037858
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- License
- A67360 (CA)
- Legal business name
- ABEL CESAR TOLEDO M.D. INC.
- Practice address
- 330 Oxford St
Suite# 110
Chula Vista, CA 91911-3117 - Phone
- (619) 427-7181
- Fax
- (619) 427-2801
- NPI assigned
- Mar 19, 2009
- Organization subpart
- No
Authorized official
- Name
- Dr. Abel Cesar Toledo, M.D.
- Title
- President/Director
- Phone
- (619) 427-7181
Practitioners 1
-
Abel C. Toledo, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090623000058 | CA | Part B Supplier - Clinic/Group Practice | 7517018161 |
Receives reassigned benefits from 1 practitioner Practice locations: Chula Vista, CA |
National Provider Directory
Locations
330 Oxford St
Ste 110
Chula Vista, CA 91911
Phone (619) 427-7181
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | A67360 | CA | Yes |
Addresses
Primary practice location
330 Oxford St
Suite# 110
Chula Vista, CA 91911-3117
Mailing address
330 Oxford St
Suite# 110
Chula Vista, CA 91911-3117
Phone (619) 427-7181
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A673600 | Medicaid | CA |
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All providers in Chula Vista, CA · Primary Care Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 19, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.