Active NPI
Albert Vincent Retodo, M.D.
- Physical Medicine & Rehabilitation Physician
- Hayward, CA
National Provider Identifier
1831200831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- A90735
- Practice address
- 24301 Southland Drive
Suite 213
Hayward, CA 94545 - Phone
- (510) 781-0211
- Fax
- (510) 781-0945
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A90735 | CA | |
| Physical Medicine & Rehabilitation Physician | 208100000X | A90735 | CA | Primary |
Addresses
Primary practice location
24301 Southland Drive
Suite 213
Hayward, CA 94545
Mailing address
24301 Southland Drive
Suite 213
Hayward, CA 94545
Phone (510) 781-0211
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A90735 | CA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christopher Chen, M.D., Inc. | Specialist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Specialist
- Pleasanton, CA
- NPI 1851476832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331683200000",
"number": "1831200831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DRIVE",
"address_2": "SUITE 213",
"city": "HAYWARD",
"state": "CA",
"postal_code": "94545",
"telephone_number": "510-781-0211",
"fax_number": "510-781-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24301 SOUTHLAND DRIVE",
"address_2": "SUITE 213",
"city": "HAYWARD",
"state": "CA",
"postal_code": "94545",
"telephone_number": "510-781-0211",
"fax_number": "510-781-0945"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RETODO",
"first_name": "ALBERT",
"middle_name": "VINCENT",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2012-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A90735",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "CA",
"license": "A90735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.