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

Todd William Degiovanni, PA-C

Individual provider Physician Assistant · NPI 1235129289

Todd William Degiovanni, PA-C is a Physician Assistant in South Lake Tahoe, California. Licensed in California and Nevada. Registered with an NPI since 2005.

Licensed in
CA, NV
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2201 S Ave
South Lake Tahoe, CA 96150-7025
Phone: (530) 543-5623
Fax: (530) 541-5738
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA15958 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA764 (NV)

Record details

NPI number1235129289
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 21, 2005
Last updated in NPPESJuly 16, 2014

Other providers in South Lake Tahoe