The California Tahoe Emergency Services Operations Authority (or "Cal Tahoe") is a Joint Powers Authority (JPA) formed in 2001 as a transport contractor for ambulance service under a contract with the County of El Dorado to the Tahoe South Shore service area and parts of northwestern Alpine County. The JPA's administrative offices are located at 3066 Lake Tahoe Blvd.

As of October 31, 2017 the JPA includes three member agencies:

• Lake Valley Fire Protection District 
• City of South Lake Tahoe Fire Department
•  Fallen Leaf Lake Community Service District

Cal Tahoe JPA operates three full-time ambulances, one part-time ambulance, and maintains two reserve ambulances that are dispatched by the City of South Lake Tahoe Police Department. Paramedics from South Lake Tahoe Fire Department and Lake Valley Fire Protection District responded to 3,349 emergency medical calls in 2021.