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Active NPI 1437534005 Individual Practitioner Male Practitioner

Brian Eijiro Tabata , PA-C

Physician Assistant • Big Bear Lake, CA

Professional Overview & Biography Verified Profile Summary

Brian Tabata, PA-C is a registered healthcare professional specializing in Physician Assistant in Big Bear Lake, CA. Practice services are available at 41949 BIG BEAR BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

41949 Big Bear Blvd

Big Bear Lake, CA 92315

Telephone 9098783696
Associated Practice Facility / Clinic
🏢 Big Bear Urgent Care Inc Facility NPI 1366104671

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Big Bear Lake, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.0 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
7 Specialists

Practicing in Big Bear Lake, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA 52659

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID California Pa License Number
52659 (CA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Jessica Rule , PA-C

Physician Assistant

NPI 1285290213

Physician Assistant (Certified)

Dr. Norman Johnson , MD

Emergency Medicine

NPI 1497704506

Doctor of Medicine (M.D.)

Brett Davis , PA

Physician Assistant

NPI 1700091436

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 12, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 12, 2015

Registered at 41949 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315 (Tel: 9098783696)

📍
Updated Business Mailing Address October 12, 2015

Registered at 41949 BIG BEAR BLVD, BIG BEAR LAKE, CA 92315 (Tel: 9098783696)

👤
Provider Name / Credentials Updated October 12, 2015

Recorded as BRIAN TABATA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 12, 2015

Physician Assistant (License #52659 in CA)

🟢
Initial NPI Registration & Enumeration July 24, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1437534005
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2015
Last Update: October 12, 2015
Sole Proprietor: No

Mailing Address

41949 Big Bear Blvd

Big Bear Lake, CA 92315

Phone: 9098783696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.