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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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