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

Tahoe Orthopedics & Sports Medicine, Inc

Organization Orthopaedic Surgery Physician · NPI 1902131287

Tahoe Orthopedics & Sports Medicine, Inc is an Orthopaedic Surgery Physician in South Lake Tahoe, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
Specialties on file
7
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

2170B S Ave
South Lake Tahoe, CA 96150-7026
Phone: (530) 543-5554
Fax: (530) 541-3016
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X (CA)
Orthopaedic Hand Surgery Physician Taxonomy 207XS0106X (CA)
Sports Medicine (Orthopaedic Surgery) Physician Taxonomy 207XX0005X (CA)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X (CA)
Sports Medicine (Physical Medicine & Rehabilitation) Physician Taxonomy 2081S0010X (CA)
Occupational Therapist Taxonomy 225X00000X (CA)
Physician Assistant Taxonomy 363A00000X (CA)

Record details

NPI number1902131287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Swanson — President · (530) 543-5554
NPI enumeratedOctober 5, 2009
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address2170 South Ave, South Lake Tahoe, CA 96150-7026

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