Healthcare Provider Details

I. General information

NPI: 1891632550
Provider Name (Legal Business Name): ELIZABETH TOLEDO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2851 FEATHER RD
MANTECA CA
95337-7006
US

IV. Provider business mailing address

2851 FEATHER RD
MANTECA CA
95337-7006
US

V. Phone/Fax

Practice location:
  • Phone: 510-940-6329
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: