NPIMap

Organization Active NPI

Operation Breakthrough

  • Health Maintenance Organization
  • Big Bear Lake, CA
National Provider Identifier
1659562973
Registry record updated Jul 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
3601501120 Issued in CA
Legal business name
OPERATION BREAKTHROUGH
Practice address
40880 Pedder Rd
Big Bear Lake, CA 92315-6445
Phone
(909) 866-5437
Fax
(909) 866-8555
NPI assigned
Aug 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2008

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

Authorized official

Name
Beverly Ary
Title
Executive Director
Phone
(760) 365-3022

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Health Maintenance Organization 302R00000X 3601501120 CA Primary

Addresses

Primary practice location

40880 Pedder Rd
Big Bear Lake, CA 92315-6445

Mailing address

PO Box 6445
Big Bear Lake, CA 92315-6445
Phone (909) 866-5437

National Provider Directory

National Provider Directory

Locations

40880 Pedder Rd
Big Bear Lake, CA 92315
Phone (909) 366-0545

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217289600000",
    "number": "1659562973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6445",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156445",
            "telephone_number": "909-866-5437",
            "fax_number": "909-866-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40880 PEDDER RD",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923156445",
            "telephone_number": "909-866-5437",
            "fax_number": "909-866-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPERATION BREAKTHROUGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2008-07-29",
        "status": "A",
        "authorized_official_last_name": "ARY",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-365-3022"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "3601501120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Big Bear Lake, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.