Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Big Bear Lake Medical Group Inc

Organization Cardiovascular Disease Physician · NPI 1174783989

Big Bear Lake Medical Group Inc provides Cardiovascular Disease Physician services in Big Bear Lake, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

41930 Garstin Dr
Big Bear Lake, CA 92315 Not confirmed with CMS for 18 years — call before visiting
Phone: (909) 866-6567
Fax: (909) 866-7030
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 20A6319 (CA)

Record details

NPI number1174783989
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Norman — Physician · (909) 866-6567
NPI enumeratedJune 16, 2008
Last updated in NPPESSeptember 9, 2008
Mailing address41930 Garstin Dr Po Box 2915, Big Bear Lake, CA 92315