Tahoe Carson Valley Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

TAHOE CARSON VALLEY MEDICAL GROUP INC

Practice address

2170 South Ave
South Lake Tahoe, CA 96150

Phone

(530) 541-3420

Fax

(530) 541-8723

NPI assigned

Jul 20, 2005

Last updated

Jul 29, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. David Young, MDNPI 1952321598

Title

President

Phone

(775) 589-8916

Specialties & licenses 12

Addresses

Other identifiers 18

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Barton Healthcare System

  • Skilled Nursing Facility
  • South Lake Tahoe, CA
  • NPI 1891759502

  Member Of

  NPD member

Locations

Practitioners 111

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Ronald Young, M.D.

  • Cardiovascular Disease Physician
  • South Lake Tahoe, CA
  • NPI 1952321598
  Medicare reassignment Authorized official
• Sierra C Armstrong, FNP

  • Nurse Practitioner
  • South Lake Tahoe, CA
  • NPI 1417442419
  Medicare reassignment NPD
• Andrea Marie Baldwin, RN, NP

  • Family Nurse Practitioner
  • Oceanside, CA
  • NPI 1497202121
  Medicare reassignment NPD
• Jean Claude Bassila, M.D.

  • Nephrology Physician
  • Santa Rosa, CA
  • NPI 1487817854

  Internal Medicine

  Medicare reassignment NPD
• Azadeh Brumand, D.O.

  • Gastroenterology Physician
  • South Lake Tahoe, CA
  • NPI 1710365689

  Internal Medicine

  Medicare reassignment NPD
• Lisa Marie Carbonell, MD

  • Obstetrics & Gynecology Physician
  • Ventura, CA
  • NPI 1861780215
  Medicare reassignment NPD
• Mindy Ellen Cooper-Smith, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • South Lake Tahoe, CA
  • NPI 1396734877
  Medicare reassignment NPD
• Noah A Craft, M.D.

  • Dermatology Physician
  • Torrance, CA
  • NPI 1750351193
  Medicare reassignment NPD
• Jason Crowley, FNP, DC

  • Family Nurse Practitioner
  • South Lake Tahoe, CA
  • NPI 1871862565
  Medicare reassignment NPD
• Consuelo Veronica David, M.D.

  • Dermatology Physician
  • Torrance, CA
  • NPI 1689963340
  Medicare reassignment NPD
• Molly Dowd

  • Pediatric Nurse Practitioner
  • South Lake Tahoe, CA
  • NPI 1093424368
  Medicare reassignment NPD
• Megan Jo Galloway, CNM

  • Advanced Practice Midwife
  • South Lake Tahoe, CA
  • NPI 1376053702
  Medicare reassignment NPD

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

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    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785283200000",
    "number": "1508865528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 SOUTH AVE",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961507026",
            "telephone_number": "530-543-5659",
            "fax_number": "530-541-8723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
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            "telephone_number": "530-541-3420",
            "fax_number": "530-541-8723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE CARSON VALLEY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-589-8916",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
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            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "USA293250",
            "state": "CA"
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        {
            "code": "01",
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            "identifier": "USA292950",
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        },
        {
            "code": "01",
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        {
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        {
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            "issuer": "BLUE SHIELD OF CA",
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            "identifier": "100506149",
            "state": "NV"
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            "identifier": "ZZZ54133Z",
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        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Blvd",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212441849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cynthia Marie Swalm, CADC-II A3620592
• Elizabeth Mae Swope, D.D.S.
• T. Rutner DDS Dental Corporation
• Allyson Maria Tabor, R.N., P.H.N.
• Tahoe Basin Behavior Analysis, LLC
• Tahoe Carson Valley Medical Group Inc
• Tahoe Coalition for the Homeless
• Tahoe Emergency Physicians Medical Corporation
• Tahoe Family Hearing Clinic, PC
• Tahoe Orthopedics & Sports Medicine, Inc.

• Family Medicine Physician in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.