| Bear Mountain Family Practice | |
| 
					41945 Big Bear Blvd Ste 200 Big Bear Lake CA 92315-2030  | |
| (909) 866-5868 | |
| (909) 866-5860 | 
| Full Name | Bear Mountain Family Practice | 
|---|---|
| Speciality | Family Medicine | 
| Location | 41945 Big Bear Blvd Ste 200, Big Bear Lake, California | 
| Authorized Official Name and Position | Christopher H. Fagan (PRESIDENT) | 
| Authorized Official Contact | 9098665868 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Bear Mountain Family Practice P.o. Box 6848, Pmb 278 41933 Big Bear Blvd Big Bear Lake CA 92315 Ph: (909) 866-5868  | Bear Mountain Family Practice 41945 Big Bear Blvd Ste 200 Big Bear Lake CA 92315-2030 Ph: (909) 866-5868  | 
| NPI Number | 1720107592 | 
|---|---|
| Provider Enumeration Date | 03/29/2007 | 
| Last Update Date | 02/23/2021 | 
| Medicare PECOS PAC ID | 3476537200 | 
|---|---|
| Medicare Enrollment ID | O20040617000827 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1720107592 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary | 
Bear Valley Community Health Care District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41870 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8276 Fax: 909-878-8282  | |
Big Bear Family Practice Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41945 Big Bear Blvd, Suite 200, Big Bear Lake, CA 92315 Phone: 909-866-6567  | |
Cary Stewart Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41820 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8246  | |
The Doctor's House, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 41870 Garstin Dr, Big Bear Lake, CA 92315 Phone: 678-570-7644  | |
Bear Valley Community Health Care District Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 41820 Garstin Drive, Big Bear Lake, CA 92315 Phone: 909-878-8246 Fax: 909-878-8294  |