Individual provider Active NPI

Marcelo Gabriel Toledo, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Rialto, CA
National Provider Identifier
1811192180
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
54668 Issued in CA
Practice address
326N Riverside Ave
Rialto, CA 92376-5926
Phone
(909) 875-1464
Fax
(909) 875-1467
NPI assigned
Jun 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 54668 CA
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 54668 CA Primary

Addresses

Primary practice location

326N Riverside Ave
Rialto, CA 92376-5926

Mailing address

326N Riverside Ave
Rialto, CA 92376-5926
Phone (909) 875-1464

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160113002324 CA Practitioner - Oral Surgery 7719289347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Hummingbird Health Organization Current Accepting new patients
Marcelo Toledo DDS Inc Dentist CurrentSince Dec 14, 2015 Accepting new patients

Locations

1701 N Palm Canyon Dr
Ste 2
Palm Springs, CA 92262
Phone (760) 864-8793

326 N Riverside Ave
Rialto, CA 92376
Phone (909) 875-1464

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1811192180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765926",
            "telephone_number": "909-875-1464",
            "fax_number": "909-875-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326N RIVERSIDE AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765926",
            "telephone_number": "909-875-1464",
            "fax_number": "909-875-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "MARCELO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-18",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "54668",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "54668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

Verify at the official NPI Registry.