Individual provider Active NPI

Christina Marie Toledo, NP

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1821332016
Registry record updated Jan 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95004039 Issued in CA
Practice address
111 Elm St
San Diego, CA 92101-2692
Phone
(619) 677-3800
Fax
(619) 677-3880
NPI assigned
Nov 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2019

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 95004039 CA Primary

Addresses

Primary practice location

111 Elm St
San Diego, CA 92101-2692

Mailing address

111 Elm St
San Diego, CA 92101-2692
Phone (619) 677-3800

Other practice location 1

1510 4th St
Suite 1
Berkeley, CA 94710-1717
Phone (510) 525-8980

Other names 1

  • Christina Marie Toledo Former name

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160427002288 CA Practitioner - Nurse Practitioner 6204080427 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004039CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of California, Inc. CurrentSince Apr 18, 2016 Accepting new patients
Scripps Health Current Accepting new patients
Quantum Healthcare Medical Associates Inc. CurrentSince Nov 5, 2017 Accepting new patients

Locations

1510 4th St
Ste 1
Berkeley, CA 94710
Phone (510) 525-8980

400 N Pepper Ave
Colton, CA 92324
Phone (909) 580-1800

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

2000 Vale Rd
San Pablo, CA 94806
Phone (510) 235-7000

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

7391 W Charleston Blvd
Ste 140
Las Vegas, NV 89117
Phone (702) 233-0684

Interoperability endpoints

  • Direct secure messaging: ctoledo387461@scrippshlth.medalliesdirect.net

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1352678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1821332016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 ELM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012692",
            "telephone_number": "619-677-3800",
            "fax_number": "619-677-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 ELM ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012692",
            "telephone_number": "619-677-3800",
            "fax_number": "619-677-3880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1510 4th St",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947101717",
            "country_code": "US",
            "telephone_number": "510-525-8980",
            "fax_number": "510-525-8982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-12",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95004039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "TOLEDO",
            "middle_name": "MARIE",
            "credential": "LUNZER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.