Tahoe Carson Valley Medical Group Inc

LBN: Tahoe Carson Valley Medical Group Inc
Tahoe Carson Valley Medical Group Inc is an health care organization with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150. The organization recently has 12 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Rheumatology, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Tahoe Carson Valley Medical Group Inc can be contacted via phone (530) 541-3420, or through Young, David via phone (775) 589-8916.

Contact Information

Primary practice address
2170 South Ave South Lake Tahoe CA 96150
Phone: (530) 541-3420
Fax: (530) 541-8723
Website:
Map and Directions
Authorized official contact:
Name: Young, David Doctor of Medicine (MD)
Phone: (775) 589-8916

Health care specialties

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

Profile Details

NPI number 1508865528
LBN Legal business name Tahoe Carson Valley Medical Group Inc
DBA Doing business as
Authorized official Young, David Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2005
Last updated Jun 12th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508865528 NPPES
California Other USA293250 BLUE SHIELD OF CA
California MEDICAID XGG007610 BLUE SHIELD OF CA
California Other ZZZ14014Z BLUE SHIELD OF CA
California MEDICAID GR0055022 BLUE SHIELD OF CA
California MEDICAID GR0055023 BLUE SHIELD OF CA
California Other USA293170 BLUE SHIELD OF CA
California Other USA292950 BLUE SHIELD OF CA
California Other USA292960 BLUE SHIELD OF CA
California Other USA292970 BLUE SHIELD OF CA
California Other ZZZ61294Z BLUE SHIELD OF CA
California MEDICAID 100506149 BLUE SHIELD OF CA
California MEDICAID GR0055020 BLUE SHIELD OF CA
California Other ZZZ54133Z BLUE SHIELD OF CA
California MEDICAID XGG007612 BLUE SHIELD OF CA
California Other ZZZ65882Z BLUE SHIELD OF CA
California MEDICAID 100506911 BLUE SHIELD OF CA
California MEDICAID GR0055021 BLUE SHIELD OF CA
California MEDICAID XGG007611 BLUE SHIELD OF CA

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