Individual provider Active NPI

Sara Robison

  • Physician Assistant
  • South Lake Tahoe, CA
National Provider Identifier
1326894320
Registry record updated Jun 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
67357 Issued in CA
Practice address
2694 Henderson St
South Lake Tahoe, CA 96150-4140
Phone
(775) 338-9503
NPI assigned
Apr 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 67357 CA Primary
Physician Assistant 363A00000X PA3333 NV

Addresses

Primary practice location

2694 Henderson St
South Lake Tahoe, CA 96150-4140

Mailing address

2694 Henderson St
South Lake Tahoe, CA 96150-4140
Phone (775) 338-9503

Other practice location 1

155 Highway 50 Ste 203
Stateline, NV 89449-9816
Phone (530) 539-6620

Other practice location 2

2170 South Ave # B
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20260219001208 NV Practitioner - Physician Assistant 9931689783 Reassigns benefits to 1 organization
I20260219003455 CA Practitioner - Physician Assistant 9931689783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barton Medical FoundationGroup PAC ID 5395127682, 97 clinicians

Practice addresses (Care Compare)

155 Hwy 50
Suite 203
Stateline, NV 89449-9816
Phone (775) 589-8915

2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
67357CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Barton Medical Foundation CurrentSince Feb 1, 2026 Accepting new patients

Locations

2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620

2170 South Ave
Ste B
South Lake Tahoe, CA 96150
Phone (530) 539-6600

2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554

2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1326894320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2694 HENDERSON ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961504140",
            "telephone_number": "775-338-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2694 HENDERSON ST",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961504140",
            "telephone_number": "775-338-9503"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 Highway 50 Ste 203",
            "address_purpose": "LOCATION",
            "city": "Stateline",
            "state": "NV",
            "postal_code": "894499816",
            "country_code": "US",
            "telephone_number": "530-539-6620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2170 South Ave # B",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961507026",
            "country_code": "US",
            "telephone_number": "530-539-6620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBISON",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-29",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "67357",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NV",
            "license": "PA3333",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Lake Tahoe, CA

Sources for this page

Verify at the official NPI Registry.