Beaver Medical Group P C
Organization Active NPI Durable Medical Equipment & Medical Supplies · Beaumont, CA
NPI 1609110667 · NPPES record last updated Jul 24, 2024
Key facts
- NPI
- 1609110667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BEAVER MEDICAL GROUP P C
- Practice address
- 81 South Highland Springs Avenue
Suite 101 & 200
Beaumont, CA 92223-3170 - Phone
- (951) 845-0313
- Fax
- (951) 849-3225
- NPI assigned
- Nov 15, 2012
- Organization subpart
- Yes
- Parent organization (as reported)
- BEAVER MEDICAL GROUP P C
Authorized official
- Name
- Emily Castillo
- Title
- Associate Director
- Phone
- (702) 480-2550
Other NPIs with the same Medicare PAC ID 7
Practitioners 251
-
Hanan Abu Alnaaj, MD
-
James E Agee, M.D.
-
Lindsay Anne Ahmed, M.D.
-
Nesib Ali, MD
-
Noura Aman, PA
-
Amanda Ardessi, FNP-C
-
William G Ayoub Jr., PA-C
-
Ghazal N Bahri, M.D.
-
Erik Bakken, M.D.
-
Augusto F Banayat, FNP
-
Steven Beck, M.D.
-
Brian Beitel, M.D.
-
Amandip Birdi, D.O.
-
Amy Blackmon, MD
-
Chad Brockardt, M.D.
-
Bobby J Bryant II, M.D.
-
Michelle Nicole Budd, PA-C
-
Carina D Buhay, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121130000533 | CA | DME Supplier - Multi-Specialty - Physician | 0547164295 | Practice locations: Beaumont, CA |
National Provider Directory
- Part of
- Pinnacle Med Group an a
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | |||
| Durable Medical Equipment & Medical Supplies | 332B00000X | Yes |
Addresses
Primary practice location
81 South Highland Springs Avenue
Suite 101 & 200
Beaumont, CA 92223-3170
Mailing address
PO Box 35380
Las Vegas, NV 89133-5380
Phone (702) 480-2550
Other providers in Beaumont, CA
- Beaumont SNF Healthcare, LLC
- Beaumont Unified School District
- Beaver Medical Group LP
- Beaver Medical Group P C
- Beaver Medical Group P C
- Amanda Louise Bell
- Millard Bell
- Beltone Hearing Aid Center
- Andrew Matthew Beltran
- Taiye Beoghene
All providers in Beaumont, CA · Durable Medical Equipment & Medical Supplies in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.