Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tahoe Carson Valley Medical Group Inc

Organization Emergency Medicine Physician · NPI 1508865528

Tahoe Carson Valley Medical Group Inc is an Emergency Medicine Physician in South Lake Tahoe, California. Registered with an NPI since 2005.

In the registry since
2005
Specialties on file
12
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2170 S Ave
South Lake Tahoe, CA 96150
Phone: (530) 541-3420
Fax: (530) 541-8723
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Emergency Medicine Physician Taxonomy 207P00000X
Internal Medicine Physician Taxonomy 207R00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Rheumatology Physician Taxonomy 207RR0500X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Otolaryngology Physician Taxonomy 207Y00000X
Pediatrics Physician Taxonomy 208000000X
Psychiatry Physician Taxonomy 2084P0800X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Hospitalist Physician Taxonomy 208M00000X

Record details

NPI number1508865528
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Young — President · (775) 589-8916
NPI enumeratedJuly 20, 2005
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address2170 South Ave, South Lake Tahoe, CA 96150-7026

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