NPI 1053450072 · live from the CMS NPI Registry
Zachary A Child, MD
Orthopaedic Surgery in South Lake Tahoe, CA. National Provider Identifier 1053450072, active.
NPI record
| NPI | 1053450072 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 2170 South Ave, South Lake Tahoe, CA 96150 |
| Practice phone | 530-543-5554 |
| Enumerated | February 6, 2007 |
| Last updated | May 12, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 17241 (NV) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | 17241 (NV) |
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine | 207XS0117X | C149911 (CA) |
| Orthopaedic Surgery primary | 207X00000X | C149911 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.