OrganizationActive
Barton Healthcare System
NPI 1154631703 · Primary Care Clinic/Center · South Lake Tahoe, CA
Provider details
- NPI number
- 1154631703
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Derby, Cfo(530) 543-5841
- License
- 0300000676 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1090 3rd St
Ste 1
South Lake Tahoe, CA 96150-3485
Phone: (530) 543-5660
Fax: (530) 542-1619
Street-level locationGet directions
Mailing address
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150-6207
Other names (DBA / former)
- Doing business as
- Barton Family Medicine
Registry dates
- Enumerated
- 2010-10-18
- Last updated
- 2017-04-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.