Provider Demographics
NPI:1518992668
Name:JOST, PETER FREDERICK (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:FREDERICK
Last Name:JOST
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 1:435 H ST
Mailing Address - Street 2:SCRIPPS CHULA VISTA EMERGENCY DEPT.
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-4307
Mailing Address - Country:US
Mailing Address - Phone:619-691-7290
Mailing Address - Fax:619-691-7435
Practice Address - Street 1:435 H ST
Practice Address - Street 2:SCRIPPS CHULA VISTA EMERGENCY DEPT.
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91910-4307
Practice Address - Country:US
Practice Address - Phone:619-691-7290
Practice Address - Fax:619-691-7435
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2013-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA81661207P00000X
CO46917207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A816610Medicaid
CO53535359Medicaid
CO53535359Medicaid
CA00A816610Medicaid
CAWA81661AMedicare PIN