BIG BEAR LAKE MEDICAL GROUP INC
NPI 1174783989
Internal Medicine - Cardiovascular Disease in Big Bear Lake, CA

Active since June 16, 2008
41930 GARSTIN DR, BIG BEAR LAKE, CA 92315(909) 866-6567(909) 866-7030 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Big Bear Lake Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BIG BEAR LAKE MEDICAL GROUP INC (NPI 1174783989) is a healthcare organization registered as a cardiovascular disease in Big Bear Lake, California and active in the NPI registry since June 2008. The organization lists Michael Norman, Physician, as its authorized official.

NPPES Registry Identity

NPI1174783989
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameBIG BEAR LAKE MEDICAL GROUP INC
Location Address41930 GARSTIN DRBig Bear Lake, CA 92315
Mailing Address41930 Garstin Dr Po Box 2915Big Bear Lake, CA 92315 · (909) 866-6567 · Fax (909) 866-7030
Fax(909) 866-7030
Organization SubpartNo
Authorized OfficialMichael NormanPhysician · (909) 866-6567
Enumeration DateJune 16, 2008
Last NPPES UpdateSeptember 9, 2008
NPI 1174783989 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in CA · 20A6319
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
41930 GARSTIN DR, Big Bear Lake, CA 92315

Other Identifiers 2

Medicaid00AX63190CA
Medicare UPINF83273CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
41930 GARSTIN DR
BIG BEAR LAKE, CA 92315

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Big Bear Lake Medical Group Inc's NPI number?

The NPI number for Big Bear Lake Medical Group Inc is 1174783989. It was assigned to this organization in the NPPES registry on June 16, 2008.

Where is Big Bear Lake Medical Group Inc located?

Big Bear Lake Medical Group Inc is located at 41930 Garstin Dr, Big Bear Lake, CA 92315. The listed phone number is (909) 866-6567.

What is Big Bear Lake Medical Group Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Big Bear Lake Medical Group Inc was last updated on September 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.