| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1487653663 | COOPER | GARY | HARRY | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1588841712 | JEWELL | MEGAN | F | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 | |
| 1902117732 | RUDOLPH | CLARE | ELIZABETH | 2170 SOUTH AVE | SOUTH LAKE TAHOE | CA | 961507026 | |
| 1841592037 | WEAVIL | AMANDA | STEVENS | 1111 EMERALD BAY RD | SOUTH LAKE TAHOE | CA | 961506207 |