Individual
MR. DAVID C TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 B GALE WILSON BLVD, FAIRFIELD, CA 94533-3552
(707) 646-5000
Mailing address
3315 WATT AVE, SACRAMENTO, CA 95821-3600
(916) 481-6800
(916) 481-1881
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101238378
VA
207L00000X
Anesthesiology Physician
Primary
C140968
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101238378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139230
ANTHEM
VA
05
—
1447264023
—
VA
01
—
297577
AMERIGROUP
VA
01
—
484645
NCPPO
VA
01
—
9405007
PHCS
VA
05
—
CA311940
—
CA
01
—
K142-0001
CAREFIRST
DC
01
—
P00308248
RAILROAD MEDICARE
VA
Enumeration date
07/28/2006
Last updated
05/11/2022
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