Big Bear Fire Authority

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

BIG BEAR FIRE AUTHORITY

Practice address

41090 Big Bear Boulevard
Big Bear Lake, CA 92314

Phone

(909) 866-7544

NPI assigned

Jun 15, 2018

Last updated

Jun 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeffrey A. Willis

Title

Fire Chief

Phone

(909) 866-7566

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Big Bear City Community Services District

  • Land Ambulance
  • Big Bear City, CA
  • NPI 1174604557

  Member Of

  NPD member

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529020800000",
    "number": "1497249213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2830",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152830",
            "telephone_number": "909-866-7566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41090 BIG BEAR BOULEVARD",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "92314",
            "telephone_number": "909-866-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG BEAR FIRE AUTHORITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-15",
        "last_updated": "2018-06-15",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "909-866-7566"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bear Valley Usd
• Anna Bedrossian, O.D.
• Heidi Marie Biedebach, MD
• Big Bear Family Medicine
• Big Bear Family Practice Professional Corporation
• Big Bear Lake Medical Group Inc
• Big Bear Optometry Inc
• Big Bear Pharmacy
• Big Bear Urgent Care Inc
• River Bilton

• Land Ambulance in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Land Ambulance in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.