Tahoe Carson Valley Medical Group Inc
NPI 1508865528 · Family Medicine Physician · South Lake Tahoe, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tahoe Carson Valley Medical Group Inc is a Family Medicine Physician organization in South Lake Tahoe, CA (NPI 1508865528).
Provider details
- NPI number
- 1508865528
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- David Young, President(775) 589-8916
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
- Obstetrics & Gynecology Physician207V00000X
Allopathic & Osteopathic Physicians
- Otolaryngology Physician207Y00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
Mailing address
Registry dates
- Enumerated
- 2005-07-20
- Last updated
- 2023-06-12
- Certified
- 2023-06-12
Frequently asked questions
- What is Tahoe Carson Valley Medical Group Inc's NPI number?
- Tahoe Carson Valley Medical Group Inc's National Provider Identifier (NPI) is 1508865528, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tahoe Carson Valley Medical Group Inc?
- Tahoe Carson Valley Medical Group Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tahoe Carson Valley Medical Group Inc located?
- Tahoe Carson Valley Medical Group Inc's practice location on file with NPPES is 2170 South Ave, South Lake Tahoe, CA 96150.
- What is Tahoe Carson Valley Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for Tahoe Carson Valley Medical Group Inc is (530) 541-3420.
- Does Tahoe Carson Valley Medical Group Inc accept Medicare?
- Tahoe Carson Valley Medical Group Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tahoe Carson Valley Medical Group Inc?
- The authorized official listed on Tahoe Carson Valley Medical Group Inc's NPPES record is David Young, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tahoe Carson Valley Medical Group Inc's NPI active?
- Yes — Tahoe Carson Valley Medical Group Inc's NPI (1508865528) is active in the NPPES registry as of the last update on 2023-06-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.