NPIMap

Organization Active NPI

Snowline Eldercare PC

Doing business as Snowline Eldercare

  • Geriatric Medicine (Internal Medicine) Physician
  • Diamond Springs, CA
National Provider Identifier
1649094582
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
Legal business name
SNOWLINE ELDERCARE PC
Doing business as
Snowline Eldercare
Practice address
6520 Pleasant Valley Rd
Diamond Springs, CA 95619-9512
Phone
(530) 621-7820
NPI assigned
Nov 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
William Wiedemann
Title
Cfo
Phone
(530) 621-7820

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0300X Primary

Addresses

Primary practice location

6520 Pleasant Valley Rd
Diamond Springs, CA 95619-9512

Mailing address

6520 Pleasant Valley Rd
Diamond Springs, CA 95619-9512
Phone (530) 621-7820

Other names 1

  • SNOWLINE ELDERCARE Doing business as

National Provider Directory

National Provider Directory

Locations

6520 Pleasant Valley Rd
Diamond Springs, CA 95619
Phone (530) 621-7820

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1730937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1649094582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 PLEASANT VALLEY RD",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199512",
            "telephone_number": "530-621-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 PLEASANT VALLEY RD",
            "city": "DIAMOND SPRINGS",
            "state": "CA",
            "postal_code": "956199512",
            "telephone_number": "530-621-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNOWLINE ELDERCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-07",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "WIEDEMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-621-7820"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SNOWLINE ELDERCARE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SNOWLINE ELDERCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.