MEDICARE: JEFFREY JAMES TODD RT(R)

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2471C3402X	Radiography Radiologic Technologist	RHT 45586	CA
2	335V00000X	Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	FAC00029014	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	630000525	OTHER	GA	PALMETTO GBA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1134171986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY JAMES TODD RT(R)

Provider Business Mailing Address
First Line	:	PO BOX 1665
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93406-1665
Country	:	US
Telephone Number	:	805-541-3174
Fax Number	:	805-541-6427

Provider Business Practice Location Address
First Line	:	3170 FLORA ST
Second Line	:
City	:	SAN LUIS OBISPO
State	:	CA
Zip	:	93401-6051
Country	:	US
Telephone Number	:	805-541-3174
Fax Number	:	805-541-6427

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/17/2006
Last Update Date	:	04/07/2012

Similar Medicare Providers

1003994294 — DR. DEBRA LOUISE STAFFORD M.D
Practice Location Address:

6051 WEST SAN VICENTE BLVD
LOS ANGELES, CA
90036

Practice Phone: 323-954-9162
Practice Fax:

1023342409 — DR. ANTONIO C PADILLA CEDO M.D.
Practice Location Address:

1 CALLE 11 APT 1609 , PANORAMA PLAZA
SAN JUAN, PR
00926-6051

Practice Phone: 787-942-8191
Practice Fax:

1285947457 — MR. ATSUSHI KANOMATA LAC
Practice Location Address:

6051 BUSINESS CENTER CT STE 3A
SAN DIEGO, CA
92154-6641

Practice Phone: 619-888-5310
Practice Fax:

1164773420 — KYU MEE YO DMD
Practice Location Address:

26112 OVERLOOK PKWY , SUITE 1108
SAN ANTONIO, TX
78260-6051

Practice Phone: 210-293-0809
Practice Fax: 210-520-3424

1356683056 — MR. RACKY WONG PHARMD
Practice Location Address:

515 JOHN MUIR DR APT 706
SAN FRANCISCO, CA
94132-6051

Practice Phone: 415-683-1992
Practice Fax:

1730518895 — ELIZABETH G. SANTOS, INC
Practice Location Address:

6051 SAN YSIDRO CIR
BUENA PARK, CA
90620-2849

Practice Phone: 714-527-9145
Practice Fax: 714-736-0931

Directions to “ JEFFREY JAMES TODD RT(R)” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.