Active NPI
Bear Mountain Medical Services, a Medical Corporation
- Emergency Medicine Physician
- Big Bear Lake, CA
National Provider Identifier
1316352867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- BEAR MOUNTAIN MEDICAL SERVICES, A MEDICAL CORPORATION
- Practice address
- 41870 Garstin Drive
Big Bear Lake, CA 92315 - Phone
- (973) 251-1132
- NPI assigned
- Jun 24, 2014
- Last updated
- Apr 21, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Vaughn
- Title
- VP Provider Enrollment
- Phone
- (404) 450-4684
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | NU | Primary |
Addresses
Primary practice location
41870 Garstin Drive
Big Bear Lake, CA 92315
Mailing address
13737 Noel Rd Ste 1600
Dallas, TX 75240-1374
Phone (973) 251-1132
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Daly City, CA
- NPI 1366569642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776729600000",
"number": "1316352867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13737 NOEL RD STE 1600",
"city": "DALLAS",
"state": "TX",
"postal_code": "752401374",
"telephone_number": "973-251-1132",
"fax_number": "214-712-2444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41870 GARSTIN DRIVE",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "92315",
"telephone_number": "973-251-1132"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEAR MOUNTAIN MEDICAL SERVICES, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-24",
"last_updated": "2026-04-21",
"certification_date": "2026-04-21",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "VP PROVIDER ENROLLMENT",
"authorized_official_telephone_number": "404-450-4684"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Big Bear Lake, CA
- Renee Colleen Bacon
- Stephanie Elizabeth Bartel
- Be Fulfilled Therapy Solutions
- Brent Alan Beaird, MD
- Bear Mountain Family Practice
- Bear Valley Community Health Care District (Bear Valley Community Hospital)
- Bear Valley Community Health Care District (Big Bear Pharmacy)
- Bear Valley Community Health Care District (Family Health Center RHC)
- Bear Valley Dental Care
- Bear Valley Usd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.