Provider Demographics
NPI:1881762714
Name:SCHNEIDER, TOBIN M (MD)
Entity type:Individual
Prefix:DR
First Name:TOBIN
Middle Name:M
Last Name:SCHNEIDER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:101 S SAN MATEO DR STE 104
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94401-3840
Mailing Address - Country:US
Mailing Address - Phone:650-342-1414
Mailing Address - Fax:650-342-0135
Practice Address - Street 1:101 S SAN MATEO DR STE 104
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94401-3840
Practice Address - Country:US
Practice Address - Phone:650-342-1414
Practice Address - Fax:650-342-0135
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2008-09-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG50820208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00G508200Medicare PIN