=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013568773
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DANIEL ADAM CURTIS PA-C
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/24/2019
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 41820 GARSTIN DR
-----------------------------------------------------
City | BIG BEAR LAKE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92315
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 909-878-8246
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 428 HILLEN DALE DR. PO BOX 1761
-----------------------------------------------------
City | BIG BEAR CITY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92314
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 626-533-7956
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------