MEDICARE: DR. TODD L SNOW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1225332794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD L SNOW

Provider Business Mailing Address
First Line	:	19197 BUCKBOARD LN
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-7129
Country	:	US
Telephone Number	:	909-957-2098
Fax Number	:

Provider Business Practice Location Address
First Line	:	19197 BUCKBOARD LN
Second Line	:
City	:	RIVERSIDE
State	:	CA
Zip	:	92508-7129
Country	:	US
Telephone Number	:	909-957-2098
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/27/2010
Last Update Date	:	06/01/2026

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