Jerod Richards (NPI# 1528472255, PAC ID# 3678843430) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1528472255 |
| PAC ID by PECOS | 3678843430 |
| Professional Enrollment ID | I20170726004309 |
| Full Name | Jerod Richards |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Address |
1600 E Citrus Ave Suite A Redlands CA 92374-4802 |
| Phone Number | 9092943682 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0547164295 |
| Number of Group Practice Members | 281 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 | 9092943682 | BEAVER MEDICAL GROUP, L.P. |
| Organization Legal Name | BEAVER MEDICAL GROUP, L.P. |
| Physicians | 323 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrew Tyler | Physician Assistant | Beaver Medical Group, L.p. | 81 Highland Springs Ave, Suite 200, Beaumont, CA 92223-3170 |
| Prince C Esiobu | Vascular Surgery | Beaver Medical Group, L.p. | 245 Terracina Blvd, Suite 202, Redlands, CA 92373-4867 |
| Madeline R Deutsch | Hospitalist | Beaver Medical Group, L.p. | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Mi La Kim | Nurse Practitioner | Beaver Medical Group, L.p. | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Katrina Carter | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Chad J Brockardt | Orthopedic Surgery | Beaver Medical Group, L.p. | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Tonya Ann Yoney | Family Medicine | Beaver Medical Group, L.p. | 5957 W Ramsey St, Banning, CA 92220-3058 |
| Edmund Ko | Urology | Beaver Medical Group, L.p. | 6109 W Ramsey St, Banning, CA 92220-3051 |
| Glen R Gaerte | Optometry | Beaver Medical Group, L.p. | 1300 E Cooley Dr, Colton, CA 92324-3905 |
| Michael G Leong | Family Medicine | Beaver Medical Group, L.p. | 7223 Church St C, Highland, CA 92346-5816 |
| Street Address |
1600 E CITRUS AVE SUITE A |
| City | REDLANDS |
| State | CA |
| Zip | 92374-4802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina Carter | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Amy Blackmon | Internal Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Janet Regina Chang | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Pei-yuen Tang | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Chandima Ratnayake | Family Medicine | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Ji-hye Yoo | Anesthesiology | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Sotero J Escarza | Anesthesiology | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Suite A, Redlands, CA 92374-4802 |
| Enoch Yoon | Family Practice | Beaver Medical Group, L.p. | 1600 E Citrus Ave, Redlands, CA 92374-4802 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy Fernando | Pediatric Medicine | Faculty Physicians and Surgeons of Llusm | 1895 Orange Tree Ln, Redlands, CA 92374-0112 |
| Eric K Chin | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| John P Carlson | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| Richard D Pesavento | Ophthalmology | Retina Consultants of Southern Cal Medical Associates Inc | 1895 Orange Tree Ln, Suite 204, Redlands, CA 92374-0113 |
| Kauai N Kennedy-eto | Family Medicine | Mommy and Me Medical Group Inc | 1711 N Orange St, Redlands, CA 92374-2254 |
| Myung Jin Kim | Physical Therapy | Total Care Physical Therapy Inc | 1323 W Colton Ave, Suite 105, Redlands, CA 92374-2853 |
| Edward Frank Castro | Physical Therapy | 1752 Orange Tree Ln, Redlands, CA 92374-2856 | |
| Rita M Awender | Chiropractic | 1746 Orange Tree Ln, Redlands, CA 92374-2856 | |
| Rayed Fayed Sahawneh | Chiropractic | 1460 Industrial Park Ave, Redlands, CA 92374-2892 | |
| Carolyn Md Doherty | Otolaryngology | Andrew S Florea Md Inc | 1174 Nevada St, Suite 100, Redlands, CA 92374-2893 |
| Find all physicians in zip 92374 | |||
| City | REDLANDS |
| Zip Code | 92374 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | REDLANDS + FAMILY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.