Organization · Type 2 NPI

Tahoe Carson Valley Medical Group Inc

Family Medicine Physician · South Lake Tahoe, CA

NPI number 1508865528 Active

Practice location

2170 South Ave
South Lake Tahoe, CA 96150

Call (530) 541-3420 Map

Fax (530) 541-8723

Specialties and licenses

TaxonomyCodeLicense
Emergency Medicine Physician 207P00000XNone listed
Family Medicine Physician Primary 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Rheumatology Physician 207RR0500XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Otolaryngology Physician 207Y00000XNone listed
Pediatrics Physician 208000000XNone listed
Psychiatry Physician 2084P0800XNone listed
Surgery Physician 208600000XNone listed
Urology Physician 208800000XNone listed
Hospitalist Physician 208M00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1508865528

Tahoe Carson Valley Medical Group Inc's National Provider Identifier is 1508865528, issued on Jul 20, 2005. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 29, 2026.