TAHOE EMERGENCY PHYSICIANS MEDICAL CORPORATION
NPI 1104937408
Emergency Medicine in South Lake Tahoe, CA
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tahoe Emergency Physicians Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
36Medicare enrollment records show 36 clinicians reassign Medicare billing to Tahoe Emergency Physicians Medical Corporation, which bills Medicare for the services they deliver. Of these, 17 practice at this address and 19 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 36South Lake Tahoe, CA 96150
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Tahoe Emergency Physicians Medical Corporation enrolled in Medicare?
Yes. Tahoe Emergency Physicians Medical Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tahoe Emergency Physicians Medical Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 2 Medicare specialties reassign their Medicare billing to Tahoe Emergency Physicians Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Emergency Medicine (35) and Family Practice (1). Of these, 17 practice at this address and 19 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 9 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.
# Tahoe Emergency Physicians Medical Corporation · NPI 1104937408
Emergency Medicine organization in South Lake Tahoe, California. Organization record, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1104937408 (Entity type: Organization)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **Organization subpart:** No
- **Authorized official:** Thomas Jantos, AO
## Practice location
- **Address:** 2170 SOUTH AVE, South Lake Tahoe, CA 96150-7026
- **Phone:** (530) 541-3420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 36 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (35), Family Practice (1); 17 practice at this address and 19 within 10 miles; [full list](https://npiprofile.com/npi/1104937408/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2026
- **Other identifiers:** Medicaid GR0086240 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1104937408) · Data from the CMS NPPES public registry.