NPIMap

Organization Active NPI

Caroll Toledo Nader M D a Prof Copr

  • Family Medicine Physician
  • Chula Vista, CA
National Provider Identifier
1992869309
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAROLL TOLEDO NADER M D A PROF COPR
Practice address
345 F St
Suite 110
Chula Vista, CA 91910-2626
Phone
(619) 422-1154
Fax
(619) 422-6491
NPI assigned
Dec 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Caroll Toledo Nader, M.D.
Title
Owner
Phone
(619) 422-1154

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

345 F St
Suite 110
Chula Vista, CA 91910-2626

Mailing address

345 F St
Suite 110
Chula Vista, CA 91910-2632
Phone (619) 422-1154

Other identifiers 1

IdentifierTypeStateIssuer
00A414860MedicaidCA

Other names 1

  • Caroll Toledo M D Doing business as

National Provider Directory

National Provider Directory

Locations

345 F St
Ste 110
Chula Vista, CA 91910
Phone (619) 422-1154

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992869309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "SUITE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102632",
            "telephone_number": "619-422-1154",
            "fax_number": "619-422-6491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 F ST",
            "address_2": "SUITE 110",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102626",
            "telephone_number": "619-422-1154",
            "fax_number": "619-422-6491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLL TOLEDO NADER M D A PROF COPR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TOLEDO NADER",
        "authorized_official_first_name": "CAROLL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-422-1154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A414860",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caroll Toledo M D",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.