Unknown Individual – Family Medicine Physician, NPI 1295816684
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Big Bear Lake Post Office, Pine Knot Avenue, Big Bear Lake, San Bernardino County, California, 92315, United States
BIG BEAR LAKE, CA 92315
Phone: (909) 866-5808
Fax: (909) 855-9502
Type: Mailing
42002, Fox Farm Road, Big Bear Lake, San Bernardino County, California, 92315, United States
SUITE 200
BIG BEAR LAKE, CA 92315
Phone: (909) 866-5808
Fax: (909) 866-9502
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92315)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | CA | 82270 | Stool analysis for blood to screen for colon tumors | 40 | 40 |
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