BEAVER MEDICAL GROUP, L.P. (NPI# 1063045656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063045656 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL GROUP, L.P. |
| Practice Address |
839 Highland Springs Parkway Building C Beaumont CA 92223 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9518450313 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Authorized Official Name | CHARLES T CHEN (SENIOR MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9097933311 |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAVER MEDICAL GROUP LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215272448 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 245 Terracina Blvd., Ste. 102, Redlands, CA 92373-4865 | 2012-11-28 |
| 1790029759 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 1690 Barton Road, Redlands, CA 92373-4231 | 2012-11-15 |
| 1609110667 | Beaver Medical Group, L.p. | Emergency Medicine | 81 South Highland Springs Avenue, Suite 101 & 200, Beaumont, CA 92223-3170 | 2012-11-15 |
| 1649503319 | Beaver Medical Group, L.p. | Internal Medicine | 2 West Fern Avenue, Redlands, CA 92373-5916 | 2009-09-14 |
| 1215546700 | Beaver Medical Group, L.p. | Internal Medicine | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-07-30 |
| 1831434059 | Beaver Medical Group, L.p. | Durable Medical Equipment & Medical Supplies | 245 Terracina Blvd., Ste. 209, Redlands, CA 92373-4865 | 2012-11-28 |
| Street Address |
839 HIGHLAND SPRINGS PARKWAY BUILDING C |
| City | BEAUMONT |
| State | CA |
| Zip Code | 92223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215546700 | Beaver Medical Group, L.p. | Internal Medicine | 839 Highland Springs Parkway, Building C, Beaumont, CA 92223 | 2020-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972115376 | National Vision Inc | Optometrist | 1561 East 2nd Street, Suite 300, Beaumont, CA 92223 | 2020-08-18 |
| 1417566985 | Krystle Santana | Marriage & Family Therapist | 14700 Manzanita Park Rd, Beaumont, Ca 9223, Beaumont, CA 92223 | 2020-07-30 |
| 1730745969 | Paola Correa | Counselor | 24700 Manzanita Park Rd, Beaumont, CA 92223 | 2019-05-13 |
| 1639662802 | Jeremy Ball | Optometrist | 1659 E 6th St Ste A, Beaumont, CA 92223 | 2018-06-12 |
| 1659894368 | Jennifer Vargas | Counselor | 136 E. 6th St., Beaumont, CA 92223 | 2017-07-25 |
| 1770931487 | Amy Appleby | Student in an Organized Health Care Education/Training Program | 1360 Coriander Ct, Beaumont, CA 92223 | 2016-06-03 |
| 1427410364 | Jacob Garcia | Licensed Vocational Nurse | 38686 Florence Ave, Beaumont, CA 92223 | 2016-03-21 |
| 1396121588 | Anastasia B Flores | Counselor | 14700 Manzanita Park Rd., Beaumont, CA 92223 | 2015-08-11 |
| 1326424227 | Cindy Quyen Huynh | Dentist | 1620 E 2nd St Ste A, Beaumont, CA 92223 | 2015-08-03 |
| 1275918013 | Devin Francois Borna | Anesthesiology | 81 Highland Springs Ave Ste 100a, Beaumont, CA 92223 | 2015-07-22 |
| Find all providers in zip 92223 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588292684 | Ambulatory Strategies Physician Group | Durable Medical Equipment & Medical Supplies | 4046 Dowlen Rd, Beaumont, TX 77706-6849 | 2020-04-01 |
| 1295381432 | Global Dme | Durable Medical Equipment & Medical Supplies | 442 E 6th St, Beaumont, CA 92223-2216 | 2019-08-14 |
| 1235697426 | Provisionam | Durable Medical Equipment & Medical Supplies | 3819 Phelan Blvd, Beaumont, TX 77707-2243 | 2019-03-06 |
| 1225589708 | J & C Orthotics and Prosthetics | Durable Medical Equipment & Medical Supplies | 3195 Calder Ave Ste 200, Beaumont, TX 77702-1426 | 2016-10-19 |
| 1649658238 | Sizewise Rentals LLC | Durable Medical Equipment & Medical Supplies | 11025 Eastex Freeway, Suites D/e, Beaumont, TX 77708 | 2015-05-14 |
| 1326451543 | Medical Plus Supplies, Inc | Durable Medical Equipment & Medical Supplies | 650 Magnolia St, Beaumont, TX 77701-1809 | 2014-06-05 |
| 1184963860 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3080 College St Ste 1, Beaumont, TX 77701-4606 | 2013-01-31 |
| 1053670398 | Park Infusioncare, Lp | Durable Medical Equipment & Medical Supplies | 3695 Stagg Dr, Beaumont, TX 77701 | 2012-05-07 |
| 1780826982 | Blue Shield Medical Supply | Durable Medical Equipment & Medical Supplies | 680 N 7th St # Tth, Beaumont, TX 77702-1741 | 2009-04-02 |
| 1316191414 | Amw Medical Consulting, LLC | Durable Medical Equipment & Medical Supplies | 2685 Harrison St, Beaumont, TX 77702-1201 | 2008-11-17 |
| Find all providers in BEAUMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.