Organization · Type 2 NPI

Tahoe Orthopedics & Sports Medicine, Inc.

Orthopaedic Surgery Physician · South Lake Tahoe, CA

NPI number 1902131287 Active

Practice location

2170B South Ave
South Lake Tahoe, CA 96150-7026

Fax (530) 541-3016

Mailing address

2170 South Ave
South Lake Tahoe, CA 96150-7026

Specialties and licenses

TaxonomyCodeLicense
Orthopaedic Surgery Physician Primary 207X00000XNone listed
Orthopaedic Hand Surgery Physician 207XS0106XNone listed
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010XNone listed
Occupational Therapist 225X00000XNone listed
Physician Assistant 363A00000XNone listed

Orthopaedic Surgery Physician: An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformitie…

3 other providers at this address

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About NPI 1902131287

Tahoe Orthopedics & Sports Medicine, Inc.'s National Provider Identifier is 1902131287, issued on Oct 5, 2009. The primary taxonomy on file is Orthopaedic Surgery Physician (207X00000X), and the practice location is in South Lake Tahoe, CA. The record was last updated on Jul 29, 2026.