| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1558600122 | HOUSER | ELKE | ANNE | 2201 SOUTH AVE | SOUTH LAKE TAHOE | CA | 961507025 | |
| 1447718978 | NIEPAGEN | MARIA | LUCIA | 2201 SOUTH AVE | SOUTH LAKE TAHOE | CA | 961507025 | |
| 1942574488 | ORTA | KIMBERLY | ANN | 2201 SOUTH AVE | SOUTH LAKE TAHOE | CA | 961507025 | |
| 1730523499 | SINGH | NATHAN | GLEN | 2201 SOUTH AVE | SOUTH LAKE TAHOE | CA | 961507025 |