BEAR MOUNTAIN FAMILY PRACTICE – NPI #1720107592
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

BEAR MOUNTAIN FAMILY PRACTICE is a provider located in BIG BEAR LAKE, CA. NPPES has assigned the NPI number 1720107592 to BEAR MOUNTAIN FAMILY PRACTICE on March 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 5 years ago on Feb 23, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAR MOUNTAIN FAMILY PRACTICE below.

NPI Profile for
BEAR MOUNTAIN FAMILY PRACTICE

NPI Number
1720107592
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAR MOUNTAIN FAMILY PRACTICE
Primary location
41945 BIG BEAR BLVD STE 200
BIG BEAR LAKE, CA 92315-2030
Phone: (909) 866-5868 Fax: (909) 866-5860
1 Other location(s):
41933 Big Bear Blvd.
6848 PMB 278
Big Bear Lake, CA 92315
Phone: (909) 866-5868
Fax: (909) 866-5860
Mailing address
P.O. BOX 6848, PMB 278
41933 BIG BEAR BLVD
BIG BEAR LAKE, CA 92315
Phone: (909) 866-5868 Fax: (909) 866-5860
Organization Subpart
No
Authorized Official
CHRISTOPHER FAGAN
PRESIDENT
Phone: (909) 866-5868
Updated
Certification Date
Feb 23, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.