Big Bear Urgent Care Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

BIG BEAR URGENT CARE INC

Practice address

41949 Big Bear Blvd
Big Bear Lake, CA 92315

Phone

(909) 878-3696

Fax

(909) 878-3697

NPI assigned

Oct 13, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Garth Hamblin

Title

Cfo

Phone

(909) 878-8276

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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.

• Kelli Gora

  • Nurse Practitioner
  • Big Bear Lake, CA
  • NPI 1417372186
  Medicare reassignment Care Compare group NPD
• John Nunn

  • Physician Assistant
  • Big Bear Lake, CA
  • NPI 1689139057
  Medicare reassignment Care Compare group
• Jessica Marian Rule, PA-C

  • Physician Assistant
  • Big Bear Lake, CA
  • NPI 1285290213
  Medicare reassignment Care Compare group
• Olivia B Bockoff, PA-C

  • Physician Assistant
  • New Brunswick, NJ
  • NPI 1588828115

  CA

  Medicare reassignment Care Compare group
• Brent Alan Beaird, MD

  • Family Medicine Physician
  • Big Bear Lake, CA
  • NPI 1003854738
  Medicare reassignment NPD
• Steven Groke, MD

  • Emergency Medicine Physician
  • San Francisco, CA
  • NPI 1255629994
  Medicare reassignment NPD
• Steven Michael Knapik, D.O.

  • Family Medicine Physician
  • Big Bear Lake, CA
  • NPI 1992882955
  Medicare reassignment NPD
• Donald Steven Combs, PA,PHD

  • Medical Physician Assistant
  • Loma Linda, CA
  • NPI 1376657650
  NPD
• Steven C Reiner

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1578547576
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1366104671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1829",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923151829",
            "telephone_number": "909-878-3696",
            "fax_number": "909-878-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41949 BIG BEAR BLVD",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92315",
            "telephone_number": "909-878-3696",
            "fax_number": "909-878-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEAR URGENT CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-09-29",
        "status": "A",
        "authorized_official_last_name": "HAMBLIN",
        "authorized_official_first_name": "GARTH",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "909-878-8276",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Big Bear Family Practice Professional Corporation
• Big Bear Fire Authority
• Big Bear Lake Medical Group Inc
• Big Bear Optometry Inc
• Big Bear Pharmacy
• River Bilton
• Brian C. Binnie
• BK Surgical Inc
• Ronald S Blustein, M.D.
• Peter S. Boss, M.D.

• Urgent Care Clinic/Center in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.