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TAHOE WOMEN'S CARE
NPI 1972630432
Obstetrics & Gynecology in S Lake Tahoe, CA

Active since February 28, 2007
1067 4TH ST, S LAKE TAHOE, CA 96150(530) 543-5710(530) 542-1455 Get Directions Write a Review

NPPES record last updated: September 19, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tahoe Women's Care NPPES

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

TAHOE WOMEN'S CARE (NPI 1972630432) is a healthcare organization registered as an obstetrics & gynecology in S Lake Tahoe, California and active in the NPI registry since February 2007. The organization lists Kris F Kobalter, Vice President, as its authorized official.

NPPES Registry Identity

NPI1972630432
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMOUNTAIN MEADOWS MEDICAL GROUP OF CALIFORNIA, INC.
Location Address1067 4TH STS Lake Tahoe, CA 96150-3459
Mailing Address1067 4th StS Lake Tahoe, CA 96150-3459 · (530) 543-5710 · Fax (530) 542-1455
Phone(530) 543-5710
Fax(530) 542-1455
Organization SubpartNo
Authorized OfficialKris F KobalterVice President · (530) 543-5710
Enumeration DateFebruary 28, 2007
Last NPPES UpdateSeptember 19, 2012
✔ NPI 1972630432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · 207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1067 4TH ST, S Lake Tahoe, CA 96150
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Other Names 1

Doing Business AsTahoe Women's Care

Other Identifiers 2

Medicare PINZZZ95868ZCA
MedicaidGR0023700CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

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

SIERRA C ARMSTRONG FNP
Nurse Practitioner
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1968
DR. SHERELLEN B GERHART MD
Internal Medicine (Hospice and Palliative Medicine)
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1960
DR. ERICA CUSICK DO
Psychiatry & Neurology (Psychiatry)
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1968
REBECCA K PHILLIPSEN MSW, LCSW
Social Worker (Clinical)
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1968
DR. GREGORY WALTER BERGNER MD
Family Medicine
1067 4TH ST
SOUTH LAKE TAHOE, CA 96150
El Dorado County (530) 600-1960

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 Mountain Meadows Medical Group Of California, Inc.'s NPI number?

The NPI number for Mountain Meadows Medical Group Of California, Inc. is 1972630432. It was assigned to this organization in the NPPES registry on February 28, 2007. The provider is doing business as Tahoe Women's Care.

Where is Mountain Meadows Medical Group Of California, Inc. located?

Mountain Meadows Medical Group Of California, Inc. is located at 1067 4th St, S Lake Tahoe, CA 96150. The listed phone number is (530) 543-5710.

What is Mountain Meadows Medical Group Of California, Inc.'s specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Mountain Meadows Medical Group Of California, Inc. was last updated on September 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.