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TAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION
NPI 1104937408
Emergency Medicine in South Lake Tahoe, CA

Active since August 31, 2006
2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 541-3420 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2026, Feb 3, 2020 (2 updates tracked since 2020).

About Tahoe Emergency Physicians Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION (NPI 1104937408) is a healthcare organization registered as an emergency medicine in South Lake Tahoe, California and active in the NPI registry since August 2006. The organization lists Thomas Joseph Jantos, Ao, as its authorized official.

NPPES Registry Identity

NPI1104937408
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameTAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION
Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150-7026
Mailing AddressPo Box 849174Los Angeles, CA 90084-9174 · (775) 901-1563
Phone(530) 541-3420
Organization SubpartNo
Authorized OfficialThomas Joseph JantosAo · (775) 901-1563
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2026
✔ NPI 1104937408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
2170 SOUTH AVE, South Lake Tahoe, CA 96150
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Other Identifiers 1

MedicaidGR0086240CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BARTON HEALTHCARE SYSTEM
General Acute Care Hospital
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-3420
MICHELLE APPELLE MSPT
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5896
AMY PITTLICK SMITH NP
Nurse Practitioner (Family)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 539-6620
MICHAEL NEIGER PT
Physical Therapist
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5896
DIANE G OLIVER MD
Pathology (Cytopathology)
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 542-3000
B. PATRICK BAGHDIKIAN
Anesthesiology
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5880
ZACHARY A CHILD MD
Orthopaedic Surgery
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5554
DR. STEFAN ERNEST SCHUNK MD
Internal Medicine
2170 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 541-3420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tahoe Emergency Physicians Medical Corporation's NPI number?

The NPI number for Tahoe Emergency Physicians Medical Corporation is 1104937408. It was assigned to this organization in the NPPES registry on August 31, 2006.

Where is Tahoe Emergency Physicians Medical Corporation located?

Tahoe Emergency Physicians Medical Corporation is located at 2170 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 541-3420.

What is Tahoe Emergency Physicians Medical Corporation's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

When was this NPI record last updated?

The NPPES record for Tahoe Emergency Physicians Medical Corporation was last updated on January 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.