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Tahoe Carson Valley Medical Group Inc

Family Medicine Physician in South Lake Tahoe, CA · enumerated 2005 · authorized official David Young, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1508865528

Verified

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Registry record

Entity type Organization (Type 2)
Legal business name Tahoe Carson Valley Medical Group Inc
Practice address 2170 South Ave, South Lake Tahoe, CA, 96150
Phone (530) 541-3420
Fax (530) 541-8723
Enumeration date Jul 20, 2005
Last updated in NPPES Jun 12, 2023

Taxonomy & classification

207P00000X Emergency Medicine Physician Allopathic & Osteopathic Physicians Secondary
207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians Primary
207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians Secondary
207RC0000X Cardiovascular Disease Physician Allopathic & Osteopathic Physicians Secondary
207RR0500X Rheumatology Physician Allopathic & Osteopathic Physicians Secondary
207V00000X Obstetrics & Gynecology Physician Allopathic & Osteopathic Physicians Secondary
207Y00000X Otolaryngology Physician Allopathic & Osteopathic Physicians Secondary
208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Secondary
2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians Secondary
208800000X Urology Physician Allopathic & Osteopathic Physicians Secondary
208M00000X Hospitalist Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name David Young
Title President
Phone (775) 589-8916

Other identifiers

Identifier Type State Issuer
USA293250 Other CA BLUE SHIELD OF CA
XGG007610 Medicaid CA -
ZZZ14014Z Other CA BLUE SHIELD OF CA
GR0055022 Medicaid CA -
GR0055023 Medicaid CA -
USA293170 Other CA BLUE SHIELD OF CA
USA292950 Other CA BLUE SHIELD OF CA
USA292960 Other CA BLUE SHIELD OF CA
USA292970 Other CA BLUE SHIELD OF CA
ZZZ61294Z Other CA BLUE SHIELD OF CA
100506149 Medicaid NV -
GR0055020 Medicaid CA -
ZZZ54133Z Other CA BLUE SHIELD OF CA
XGG007612 Medicaid CA -
ZZZ65882Z Other CA BLUE SHIELD OF CA
100506911 Medicaid CA -
GR0055021 Medicaid CA -
XGG007611 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Tahoe Carson Valley Medical Group Inc?
The NPI for Tahoe Carson Valley Medical Group Inc is 1508865528, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Tahoe Carson Valley Medical Group Inc?
NPPES lists David Young (President) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-06-12.