Quick Care Tahoe Providers Medical Corporation

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

QUICK CARE TAHOE PROVIDERS MEDICAL CORPORATION

Doing business as

Quick Care Tahoe

Practice address

2074 Lake Tahoe Blvd Ste 9
South Lake Tahoe, CA 96150-6417

Phone

(530) 600-2117

NPI assigned

Jan 21, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Steven Dale Leman, MD

Title

Cmo

Phone

(530) 318-1775

Specialties & licenses 1

Addresses

Other names 1

• Quick Care Tahoe Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633564800000",
    "number": "1144810318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 KOKANEE WAY",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506629",
            "telephone_number": "530-318-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2074 LAKE TAHOE BLVD STE 9",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961506417",
            "telephone_number": "530-600-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE TAHOE PROVIDERS MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-06",
        "status": "A",
        "authorized_official_last_name": "LEMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DALE",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "530-318-1775",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Clinic",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2074 Lake Tahoe Blvd Ste 9",
            "city": "South Lake Tahoe",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961506417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Quick Care Tahoe",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PT Revolution Physical Therapy, PC
• Chloe H Puglisi
• Marcelina Nate Pulido
• Joanna Malgorzata Puszka, PHARM D
• Nicholas Quazzo
• Mia Raab, BSN, RN, PHN
• Jessica Woods Rafferty, PTA
• Raleys
• Marianna Randolph, LCSW
• Robyn R Rasmussen, MS

• Urgent Care Clinic/Center in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.