BEAVER MEDICAL GROUP P C NPI 1063045656

NPI Information

  • NPI: 1063045656
  • Provider Name: BEAVER MEDICAL GROUP P C
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • CLIA Number: 05D2182093
  • Address: 839 HIGHLAND SPRINGS PARKWAY
    BUILDING C
    BEAUMONT, CA
    ZIP 92223
  • Phone: (951) 845-0313

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NPI Details

BEAVER MEDICAL GROUP P C is a durable medical equipment medical supplies in Beaumont, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. BEAVER MEDICAL GROUP P C NPI is 1063045656. The provider is registered as an organization entity type.

The provider's business location address is:

839 HIGHLAND SPRINGS PARKWAY
BUILDING C
BEAUMONT, CA
ZIP 92223
Phone: (951) 845-0313

The provider's authorized official is Emily Castillo .
The authorized official title is Associate Director and has the following contact phone number (702) 480-2550.

The CLIA number assigned to this NPI record is 05D2182093 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2020 and was last updated on 8/20/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 11/21/2025

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