Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Big Bear Family Practice Professional Corporation

Organization Family Medicine Physician · NPI 1225543473

Big Bear Family Practice Professional Corporation is a Family Medicine Physician in Big Bear Lake, California. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

41945 Big Bear Blvd Ste 200
Big Bear Lake, CA 92315
Phone: (909) 866-6567
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G42774 (CA)

Record details

NPI number1225543473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Fagan — Owner · (909) 866-6567
NPI enumeratedDecember 11, 2017
Last updated in NPPESJanuary 2, 2018
Mailing addressPo Box 1656, Big Bear Lake, CA 92315-1656

Other providers in Big Bear Lake