BEAVER MEDICAL GROUP, LP (NPI# 1598706293) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598706293 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL GROUP, LP |
| Practice Address |
7000 Boulder Ave Highland CA 92346-3348 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9098621191 |
| Practice Fax Number | 9097964158 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2020-02-19 |
| NPI Deactivation Date | 09/10/2009 |
| NPI Reactivation Date | 2012-11-09 |
| Authorized Official Name | CHARLES T CHEN (SENIOR MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9097933311 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | BEAVER MEDICAL GROUP, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 231H00000X | Audiologist | Speech, Language and Hearing Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326085663 | Beaver Medical Group, Lp | Orthopaedic Surgery | 259 Terracina Blvd, Redlands, CA 92373-4847 | 2006-06-02 |
| 1457372179 | Beaver Medical Group, Lp | Family Medicine | 5957 W Ramsey St, Banning, CA 92220-3058 | 2006-07-21 |
| 1346278363 | Beaver Medical Group, Lp | Internal Medicine | 7223 Church St, Ste C, Highland, CA 92346-5869 | 2006-06-29 |
| 1144265919 | Beaver Medical Group, Lp | Optometrist | 1300 E Cooley Dr, Colton, CA 92324-3905 | 2006-06-17 |
| 1831133768 | Beaver Medical Group, Lp | Allergy & Immunology | 2 W Fern Ave, Redlands, CA 92373-5916 | 2006-06-14 |
| 1427090281 | Beaver Medical Group, Lp | Physical Therapist | 245 Terracina Blvd, Suite # 105, Redlands, CA 92373-4852 | 2006-06-13 |
| 1619914959 | Beaver Medical Group, Lp | Optometrist | 6109 W Ramsey St, Banning, CA 92220-3051 | 2006-06-02 |
| 1275570830 | Beaver Medical Group, Lp | Internal Medicine | 1600 E Citrus Ave, Suite # A, Redlands, CA 92374-4270 | 2006-06-01 |
| Street Address |
7000 BOULDER AVE |
| City | HIGHLAND |
| State | CA |
| Zip Code | 92346-3348 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568412567 | Hin Wah Lee | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-05-11 |
| 1932757374 | Roger Rosewitz | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346-3348 | 2019-08-29 |
| 1003383480 | Andrew Tyler | Orthopaedic Surgery | 7000 Boulder Ave, Highland, CA 92346-3348 | 2018-10-24 |
| 1306330444 | Charlene De Grassi | Nurse Practitioner | 7000 Boulder Ave, Highland, CA 92346 | 2018-06-21 |
| 1366812786 | Timothy Thue | Physician Assistant | 7000 Boulder Ave, Highland, CA 92346-3348 | 2015-09-28 |
| 1598196255 | Thaung Myat Aung | Internal Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-12-06 |
| 1013353218 | Raymond Sedgh | Family Medicine | 7000 Boulder Ave, Highland, CA 92346-3348 | 2013-05-14 |
| 1730524067 | Michael Joseph Mcneill | Family Medicine | 7000 Boulder Ave, Highland, CA 92346 | 2013-04-30 |
| 1407142201 | Mohamed Sami Elsharif | Psychiatry & Neurology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-06-21 |
| 1427341577 | Ankona Ghosh | Otolaryngology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2011-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101830 | First Choice Transport Services LLC | Non-emergency Medical Transport (VAN) | 7538 Bonita Dr, Highland, CA 92346 | 2020-10-13 |
| 1578031597 | Highland Optometrics | Optometrist | 7291 Boulder Avenue Suite #2d, Highland, CA 92346 | 2018-11-07 |
| 1972098218 | Hlh Wellness | Health Educator | 7758 Merlin Way, Highland, CA 92346 | 2018-06-28 |
| 1871088385 | Alexandria Ramirez | Behavioral Analyst | 7566 Rock Crest Lane, Highland, CA 92346 | 2018-06-27 |
| 1942708383 | Sarah Kristine Alcaide Young | Nurse Practitioner | 7223 Church St Ste C, Highland, CA 92346 | 2018-01-31 |
| 1861914251 | Brianna Rose Delpilar | Pharmacist | 2692 Highland Ave., Spc. 20, Highland, CA 92346 | 2017-07-07 |
| 1811440894 | Nancy Elizabeth Clark | Counselor | 29157 Stonegate Lane, Highland, CA 92346 | 2016-07-26 |
| 1952771529 | Michael Woosley | Physical Therapy Assistant | 29176 Whitegate Ln., Hihgland, CA 92346 | 2015-09-25 |
| 1326422940 | Lawryn Ask Monterroso | Dentist | 7216 Palm Avenue Suit B, Highland, CA 92346 | 2015-07-14 |
| 1073908315 | Empacare Homecare | Hospice, Inpatient | 7231 Boulder Ave., Ste 197, Highland, CA 92346 | 2015-04-03 |
| Find all providers in zip 92346 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275032799 | Marianne Mann | Internal Medicine | 7105 Biter Lane, Highland, MD 20777 | 2018-02-10 |
| 1154702769 | Castlebridge Medical Associates, LLC | Internal Medicine | 12975 Highland Rd, #407, Highland, MD 20777-7500 | 2015-06-10 |
| 1437481082 | Catherine C Ciantar | Internal Medicine | 2330 S Milford Rd, Highland, MI 48357-4982 | 2010-02-08 |
| 1891926531 | Saket B Sinha | Internal Medicine | 9030 Cline Ave, Highland, IN 46322 | 2009-07-29 |
| 1861621575 | Agusti Medical Corporation | Internal Medicine | 9803 Prairie Ave, Highland, IN 46322-3633 | 2009-07-02 |
| 1457542292 | American Association of Visiting Physicians | Internal Medicine | 2834 Highway Ave, Highland, IN 46322-1629 | 2007-08-07 |
| 1649490723 | Barber Co | Internal Medicine | 210 West Highland, Suite 102, Highland, MI 48357-4573 | 2007-04-30 |
| 1497824304 | George Woody Jackson | Internal Medicine | 1440 Highway 62 412, Highland, AR 72542-9497 | 2006-11-06 |
| 1528147444 | Loren Jay Chassels | Internal Medicine | 801 Main St 442, Highland, IL 62249 | 2006-11-02 |
| 1518054352 | Mary Tilak | Internal Medicine | 2241 45th St, Highland, IN 46322-2601 | 2006-10-05 |
| Find all providers in HIGHLAND | ||||
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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.