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BEAVER MEDICAL GROUP PC NPI 1649503319


NPI Information

NPI: 1649503319
Provider Name: BEAVER MEDICAL GROUP, PC

Doing Business As: OPTUM

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
2 WEST FERN AVENUE
REDLANDS, CA
ZIP 92373
Phone: (909) 793-3311
Get Directions

BEAVER MEDICAL GROUP, PC is a family medicine in Redlands, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEAVER MEDICAL GROUP, PC NPI is 1649503319. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Optum.

The provider's business location address is:

2 WEST FERN AVENUE
REDLANDS, CA
ZIP 92373-916
Phone: (909) 793-3311
Fax: (909) 335-1936

The provider's authorized official is Charles Chen .
The authorized official title is Medical Director and has the following contact phone number (909) 793-3311.

The enumeration date for this NPI number is 9/14/2009 and was last updated on 4/4/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RG0100XInternal MedicineGastroenterologyNo
3207RH0003XInternal MedicineHematology & OncologyNo
4207L00000XAnesthesiologyNo
5207N00000XDermatologyNo
6207RR0500XInternal MedicineRheumatologyNo
7207V00000XObstetrics & GynecologyNo
8207W00000XOphthalmologyNo
9207X00000XOrthopaedic SurgeryNo
10208000000XPediatricsNo
112084N0400XPsychiatry & NeurologyNeurologyNo
122085R0202XRadiologyDiagnostic RadiologyNo
13208600000XSurgeryNo
14208800000XUrologyNo
15207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.