Mountain Meadows Medical Group of California, Inc.
NPI 1972630432 · Obstetrics & Gynecology Physician · S Lake Tahoe, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mountain Meadows Medical Group of California, Inc. is a Obstetrics & Gynecology Physician organization in S Lake Tahoe, CA (NPI 1972630432).
Provider details
- NPI number
- 1972630432
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kris Kobalter, Vice President(530) 543-5710
- License
- 207V00000X (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Other names (DBA / former)
- Doing business as
- Tahoe Women'S Care
Registry dates
- Enumerated
- 2007-02-28
- Last updated
- 2012-09-19
Frequently asked questions
- What is Mountain Meadows Medical Group of California, Inc.'s NPI number?
- Mountain Meadows Medical Group of California, Inc.'s National Provider Identifier (NPI) is 1972630432, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mountain Meadows Medical Group of California, Inc.?
- Mountain Meadows Medical Group of California, Inc. is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Mountain Meadows Medical Group of California, Inc. located?
- Mountain Meadows Medical Group of California, Inc.'s practice location on file with NPPES is 1067 4th St, S Lake Tahoe, CA 96150-3459.
- What is Mountain Meadows Medical Group of California, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Mountain Meadows Medical Group of California, Inc. is (530) 543-5710.
- Does Mountain Meadows Medical Group of California, Inc. accept Medicare?
- Mountain Meadows Medical Group of California, 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 Mountain Meadows Medical Group of California, Inc.?
- The authorized official listed on Mountain Meadows Medical Group of California, Inc.'s NPPES record is Kris Kobalter, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mountain Meadows Medical Group of California, Inc.'s NPI active?
- Yes — Mountain Meadows Medical Group of California, Inc.'s NPI (1972630432) is active in the NPPES registry as of the last update on 2012-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.