Active NPI
South Lake Tahoe
- Ambulance
- South Lake Tahoe, CA
National Provider Identifier
1659438505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulance
- Legal business name
- SOUTH LAKE TAHOE
- Practice address
- 2101 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6424 - Phone
- (530) 542-6164
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sallie Ross
- Title
- Administrative Assistant
- Phone
- (530) 542-6152
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulance | 341600000X | Primary |
Addresses
Primary practice location
2101 Lake Tahoe Blvd
South Lake Tahoe, CA 96150-6424
Mailing address
PO Box 510
Alameda, CA 94501-9610
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214784000000",
"number": "1659438505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 510",
"city": "ALAMEDA",
"state": "CA",
"postal_code": "945019610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 LAKE TAHOE BLVD",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961506424",
"telephone_number": "530-542-6164"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH LAKE TAHOE",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2008-06-30",
"status": "A",
"authorized_official_last_name": "ROSS",
"authorized_official_first_name": "SALLIE",
"authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
"authorized_official_telephone_number": "530-542-6152"
},
"taxonomies": [
{
"code": "341600000X",
"taxonomy_group": "",
"desc": "Ambulance",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Lake Tahoe, CA
- Sheree Smail
- Faye M. Smith-Chakmakova, MD
- Amy Pittlick Smith, NP
- Mary Rhonda Sneeringer, MD
- Samantha Snyder
- South Lake Tahoe Family Resource Center
- South Lake Tahoe Recovery and Rehabilitation, LLC
- South Lake Tahoe Therapy, Licensed Clinical Social Worker Inc. (South Lake Tahoe Therapy)
- South Tahoe Anesthesia Medical Group
- Delicia Marilyn Spees I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.