Provider Demographics
NPI:1962507590
Name:CATALDO, STUART DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:DAVID
Last Name:CATALDO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2773 HARRIS ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:EUREKA
Mailing Address - State:CA
Mailing Address - Zip Code:95503-4866
Mailing Address - Country:US
Mailing Address - Phone:707-267-2070
Mailing Address - Fax:707-267-2071
Practice Address - Street 1:2773 HARRIS ST
Practice Address - Street 2:SUITE A
Practice Address - City:EUREKA
Practice Address - State:CA
Practice Address - Zip Code:95503-4866
Practice Address - Country:US
Practice Address - Phone:707-267-2070
Practice Address - Fax:707-267-2071
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA70399207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A703990Medicaid
CAFV589ZMedicare PIN
CA00A703990Medicaid
CA00A703990Medicare PIN