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

Dr. Clinton James Masterson, MD

Individual provider Emergency Medicine Physician · NPI 1407067168

Dr. Clinton James Masterson, MD is an Emergency Medicine Physician in South Lake Tahoe, California. Works from 2 locations. Licensed in California, Colorado, Nevada and New York and 1 more.

Licensed in
CA, CO, NV, NY, TX
In the registry since
2007
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2170 S Ave
South Lake Tahoe, CA 96150-7026
Phone: (530) 541-3420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 Medical Center Dr, Fairmont, MN 56031-4575 — (507) 238-8100

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A100433 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 234413 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 44775 (CO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 12330 (NV)
Emergency Medicine Physician Taxonomy 207P00000X · Licence M7408 (TX)

Record details

NPI number1407067168
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 24, 2007
Last updated in NPPESOctober 19, 2020
Certification dateOctober 19, 2020

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