Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

TAHOE CARSON VALLEY MEDICAL GROUP INC
NPI 1508865528
Family Medicine in South Lake Tahoe, CA

Q: What is Tahoe Carson Valley Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since July 20, 2005

2170 SOUTH AVE, SOUTH LAKE TAHOE, CA 96150(530) 541-3420(530) 541-8723 Get Directions Write a Review

NPPES record last updated: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2026, Jun 12, 2023, Jul 10, 2018 (3 updates tracked since 2018).

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About Tahoe Carson Valley Medical Group Inc NPPES

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

TAHOE CARSON VALLEY MEDICAL GROUP INC (NPI 1508865528) is a healthcare organization registered as a family medicine in South Lake Tahoe, California and active in the NPI registry since July 2005. The organization lists David Young, President, as its authorized official.

NPPES Registry Identity

NPI1508865528

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTAHOE CARSON VALLEY MEDICAL GROUP INC

Location Address2170 SOUTH AVESouth Lake Tahoe, CA 96150

Mailing Address2170 South AveSouth Lake Tahoe, CA 96150-7026 · (530) 543-5659 · Fax (530) 541-8723

Phone(530) 541-3420

Fax(530) 541-8723

Organization SubpartNo

Authorized OfficialDavid YoungPresident · (775) 589-8916

Enumeration DateJuly 20, 2005

Last NPPES UpdateJuly 29, 20263 updates tracked since enumeration

NPPES CertifiedJuly 29, 2026

✔ NPI 1508865528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X

Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X

Also ListedObstetrics & GynecologyTaxonomy 207V00000X

Also ListedOtolaryngologyTaxonomy 207Y00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X

Also ListedSurgeryTaxonomy 208600000X

Also ListedUrologyTaxonomy 208800000X

Also ListedHospitalistTaxonomy 208M00000X

2170 SOUTH AVE, South Lake Tahoe, CA 96150

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Other Identifiers 18

OtherUSA293250CA · Blue Shield Of Ca

MedicaidXGG007610CA

OtherZZZ14014ZCA · Blue Shield Of Ca

MedicaidGR0055022CA

MedicaidGR0055023CA

OtherUSA293170CA · Blue Shield Of Ca

OtherUSA292950CA · Blue Shield Of Ca

OtherUSA292960CA · Blue Shield Of Ca

OtherUSA292970CA · Blue Shield Of Ca

OtherZZZ61294ZCA · Blue Shield Of Ca

Medicaid100506149NV

MedicaidGR0055020CA

OtherZZZ54133ZCA · Blue Shield Of Ca

MedicaidXGG007612CA

OtherZZZ65882ZCA · Blue Shield Of Ca

Medicaid100506911CA

MedicaidGR0055021CA

MedicaidXGG007611CA

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