Active NPI
Maria Guadalupe Toledo, NUTRITION AIDE IBCLC
- Lactation Consultant (Non-RN)
- Stockton, CA
National Provider Identifier
1821651324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lactation Consultant (Non-RN)
- License
- L-151630
- Practice address
- 7912 Hammer Lane
Stockton, CA 95210 - Phone
- (209) 751-5200
- NPI assigned
- Apr 19, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | L-151630 | CA | Primary |
Addresses
Primary practice location
7912 Hammer Lane
Stockton, CA 95210
Mailing address
PO Box 779
Stockton, CA 95201-0779
Phone (209) 373-2800
Other practice location 1
425 N California St
Stockton, CA 95202-2130
Phone (209) 870-5000
Other practice location 2
2401 W Turner Rd
Lodi, CA 95242-2182
Phone (209) 370-1750
Other practice location 3
701 E Channel St
Stockton, CA 95202-2628
Phone (208) 944-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L-151630 | CA | MD | Lactation Consultant (Non-RN) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Medical Centers Inc | Past | Accepting new patients | |
| Community Medical Centers, Inc. | Past | Accepting new patients |
Interoperability endpoints
- maria.toledo.p1@direct.cmcentersinc.nextgenshare.com
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1891529061
-
- Federally Qualified Health Center (FQHC)
- Lodi, CA
- NPI 1881685964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1555632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555632000000",
"number": "1821651324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952010779",
"telephone_number": "209-373-2800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7912 HAMMER LANE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "95210",
"telephone_number": "209-751-5200"
}
],
"practiceLocations": [
{
"address_1": "425 N California St",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952022130",
"country_code": "US",
"telephone_number": "209-870-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2401 W Turner Rd",
"address_purpose": "LOCATION",
"city": "Lodi",
"state": "CA",
"postal_code": "952422182",
"country_code": "US",
"telephone_number": "209-370-1750",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "701 E Channel St",
"address_purpose": "LOCATION",
"city": "Stockton",
"state": "CA",
"postal_code": "952022628",
"country_code": "US",
"telephone_number": "208-944-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TOLEDO",
"first_name": "MARIA",
"middle_name": "GUADALUPE",
"credential": "NUTRITION AIDE IBCLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-04-19",
"last_updated": "2019-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "CA",
"license": "L-151630",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.