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Contact Information

BEAVER MEDICAL GROUP P C
6109 W RAMSEY ST
BANNING, CA92220-3051
 Phone: 951-845-0313
 Fax: 909-796-4158
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Optometrist

152W00000X 41 Optometry
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Surgery

208600000X 02 Physician/General Surgery
 

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for BEAVER MEDICAL GROUP P C

NPI # 1619914959
LBN Legal business name BEAVER MEDICAL GROUP P C
Authorized official EMILY CASTILLO - (ASSOCIATE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/02/2006
Last updated 04/14/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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