Unknown Individual – Emergency Medicine Physician, NPI 1013914902
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
1111, Emerald Bay Road, Tahoe Valley, South Lake Tahoe, California, 96150, United States
SOUTH LAKE TAHOE, CA 961506207
Phone: (530) 543-5659
Fax: (530) 541-8723
Type: Mailing
South Lake Tahoe, California, United States
SOUTH LAKE TAHOE, CA 961507026
Phone: (530) 541-3420
Type: Location
1501-A Kirkwood Meadows Dr
Kirkwood, CA 95646
Phone: (209) 258-7236
Type: Location
3860 Saddle Rd
South Lake Tahoe, CA 961508673
Phone: (530) 543-5575
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 96150)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.