Individual provider Active NPI

David J. Horner, MD

  • Family Medicine Physician
  • Big Bear Lake, CA
National Provider Identifier
1407112923
Registry record updated May 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A141403 Issued in CA
Practice address
42002 Fox Farm Rd Unit 200
Big Bear Lake, CA 92315-2191
Phone
(909) 878-8000
NPI assigned
Apr 10, 2012
Last updated
May 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A141403 CA Primary

Addresses

Primary practice location

42002 Fox Farm Rd Unit 200
Big Bear Lake, CA 92315-2191

Mailing address

PO Box 133021
Big Bear Lake, CA 92315-8914
Phone (520) 979-0301

Other practice location 1

41820 Garstin Drive
Big Bear Lake, CA 92315
Phone (909) 878-8246

Other practice location 2

41877 Enterprise Cir N Ste 100
Temecula, CA 92590-5628
Phone (951) 719-3685

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160727001445 CA Practitioner - Family Practice 6709100415 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

344 Teakwood Dr
Suite 133021
Big Bear Lake, CA 92315-9573
Phone (520) 979-0301

42002 Fox Farm Rd
Unit D
Big Bear Lake, CA 92315-2190
Phone (909) 878-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Temecula Valley Hospitalist Medical Group, Inc. CurrentSince Sep 2, 2016 Accepting new patients
Vvipa Medical Group Inc Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
David Horner PC Family Medicine CurrentSince Nov 9, 2020 Accepting new patients
High Desert Medical Group Family Medicine Current Accepting new patients
Community Solutions, Inc Past Accepting new patients
Precision Occupational Medical Group, Inc. Past Accepting new patients

Locations

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

12370 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 245-4747

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: david.horner.p2@direct.hvvmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589414400000",
    "number": "1407112923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133021",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923158914",
            "telephone_number": "520-979-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42002 FOX FARM RD UNIT 200",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152191",
            "telephone_number": "909-878-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41820 Garstin Drive",
            "address_purpose": "LOCATION",
            "city": "Big Bear Lake",
            "state": "CA",
            "postal_code": "92315",
            "country_code": "US",
            "telephone_number": "909-878-8246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41877 Enterprise Cir N Ste 100",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925905628",
            "country_code": "US",
            "telephone_number": "951-719-3685",
            "fax_number": "951-719-3684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HORNER",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2020-05-14",
        "certification_date": "2020-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A141403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

Verify at the official NPI Registry.