Individual provider Active NPI

Tobin M Schneider, MD

  • Surgery Physician
  • San Mateo, CA
National Provider Identifier
1881762714
Registry record updated Sep 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G50820 Issued in CA
Practice address
101 S San Mateo Dr Ste 104
San Mateo, CA 94401-3840
Phone
(650) 342-1414
Fax
(650) 342-0135
NPI assigned
Nov 30, 2006
Last updated
Sep 9, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X G50820 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr Ste 104
San Mateo, CA 94401-3840

Mailing address

101 S San Mateo Dr Ste 104
San Mateo, CA 94401-3840
Phone (650) 342-1414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101209000331 CA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 8921295478 Practice locations: San Mateo, CA

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Harvard Medical School, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 S San Mateo Dr
Suite 104
San Mateo, CA 94401-3840
Phone (650) 342-1414

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy29
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
50820CAMDPharmacist
G50820CAMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: tschneider53488@hisp.ehr.sutterhealth.org

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1881762714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 104",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013840",
            "telephone_number": "650-342-1414",
            "fax_number": "650-342-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR STE 104",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013840",
            "telephone_number": "650-342-1414",
            "fax_number": "650-342-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHNEIDER",
        "first_name": "TOBIN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G50820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.