Provider Demographics
NPI:1194814277
Name:PROPST, TOBE (MD)
Entity Type:Individual
Prefix:DR
First Name:TOBE
Middle Name:
Last Name:PROPST
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 AGUA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-5326
Mailing Address - Country:US
Mailing Address - Phone:954-868-9443
Mailing Address - Fax:
Practice Address - Street 1:7488 CALZADA DE LA FUENTE
Practice Address - Street 2:MEDICAL
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92154-2717
Practice Address - Country:US
Practice Address - Phone:619-661-4064
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2016-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93390207Q00000X
CAA82123207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PHS000Medicare UPIN