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TODD WILLIAM DEGIOVANNI PA-C
NPI 1235129289
Physician Assistant in South Lake Tahoe, CA

Active since October 21, 2005
2201 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 543-5623(530) 541-5738 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Todd William Degiovanni Pa-c NPPES

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

TODD WILLIAM DEGIOVANNI PA-C (NPI 1235129289) is an individual physician assistant in South Lake Tahoe, California, licensed in California (PA15958) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1235129289
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTODD WILLIAM DEGIOVANNICredential: PA-C
Location Address2201 SOUTH AVESouth Lake Tahoe, CA 96150-7025
Mailing Address1111 Emerald Bay RdSouth Lake Tahoe, CA 96150-6207 · (530) 543-5659 · Fax (530) 541-8723
Phone(530) 543-5623
Fax(530) 541-5738
Sole ProprietorNo
Enumeration DateOctober 21, 2005
Last NPPES UpdateJuly 16, 2014
✔ NPI 1235129289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in CA · PA15958✔ Licensed in NV · PA764
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2201 SOUTH AVE, South Lake Tahoe, CA 96150
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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.

MARGARET VIEIRA
Nurse Practitioner (Family)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
BARTON HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
JACQUELYN NOEL SARTORIUS PA-C
Physician Assistant
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
DR. MATTHEW PAUL WONNACOTT MD
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
ANNA MARIE PETERSEN FNP-BC
Nurse Practitioner (Primary Care)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
CATHERINE GAEHWILER PA
Physician Assistant
2201 SOUTH AVE, STE B
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
DR. PAUL WILLIAM RORK MD
Family Medicine
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623
BARTON HEALTHCARE SYSTEM
Clinic/Center (Rural Health)
2201 SOUTH AVE
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 543-5623

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 Todd Degiovanni's NPI number?

The NPI number for Todd Degiovanni is 1235129289. It was assigned to this individual provider in the NPPES registry on October 21, 2005.

Where is Todd Degiovanni located?

Todd Degiovanni practices at 2201 South Ave, South Lake Tahoe, CA 96150. The listed phone number is (530) 543-5623.

What is Todd Degiovanni's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Todd Degiovanni was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.