Active NPI
Eileen Mary Hofer, R.N.
- Registered Nurse
- Big Bear Lake, CA
National Provider Identifier
1811034192
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 302144
- Practice address
- 41945 Big Bear Blvd
Suite 200
Big Bear Lake, CA 92315 - Phone
- (909) 866-5070
- Fax
- (909) 878-3228
- NPI assigned
- Jan 30, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 302144 | CA | Primary |
Addresses
Primary practice location
41945 Big Bear Blvd
Suite 200
Big Bear Lake, CA 92315
Mailing address
PO Box 2471
Big Bear City, CA 92314-2471
Phone (909) 866-5070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 302144 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170115200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811034192",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2471",
"city": "BIG BEAR CITY",
"state": "CA",
"postal_code": "923142471",
"telephone_number": "909-866-5070",
"fax_number": "909-878-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41945 BIG BEAR BLVD",
"address_2": "SUITE 200",
"city": "BIG BEAR LAKE",
"state": "CA",
"postal_code": "92315",
"telephone_number": "909-866-5070",
"fax_number": "909-878-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFER",
"first_name": "EILEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "302144",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.