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BEAVER MEDICAL GROUP LP NPI 1619914959


NPI Information

NPI: 1619914959
Provider Name: BEAVER MEDICAL GROUP, LP
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D1065044

Address:
6109 W RAMSEY ST
BANNING, CA
ZIP 92220
Phone: (951) 845-0313
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BEAVER MEDICAL GROUP, LP is an internal medicine in Banning, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. BEAVER MEDICAL GROUP, LP NPI is 1619914959. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6109 W RAMSEY ST
BANNING, CA
ZIP 92220-051
Phone: (951) 845-0313
Fax: (909) 796-4158

The provider's authorized official is Charles T Chen .
The authorized official title is Senior Medical Director and has the following contact phone number (909) 793-3311.

The CLIA number assigned to this NPI record is 05D1065044 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/2/2006 and was last updated on 2/19/2020.


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
1152W00000XOptometristNo
2207P00000XEmergency MedicineNo
3207Q00000XFamily MedicineNo
4207R00000XInternal MedicineYes
5207RC0000XInternal MedicineCardiovascular DiseaseNo
6207RP1001XInternal MedicinePulmonary DiseaseNo
7207RX0202XInternal MedicineMedical OncologyNo
8207V00000XObstetrics & GynecologyNo
9207W00000XOphthalmologyNo
10208000000XPediatricsNo
11208600000XSurgeryNo
12208800000XUrologyNo

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.