BEAVER MEDICAL GROUP, LP (NPI# 1326085663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326085663 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL GROUP, LP |
| Practice Address |
259 Terracina Blvd Redlands CA 92373-4847 |
| Mailing Address |
Po Box 10069 San Bernardino CA 92423-0069 |
| Practice Telephone | 9097932634 |
| Practice Fax Number | 9097964158 |
| Mailing Telephone | 9093354188 |
| Enumeration Date | 2006-06-02 |
| 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 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1598706293 | Beaver Medical Group, Lp | Dermatology | 7000 Boulder Ave, Highland, CA 92346-3348 | 2006-06-10 |
| 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 |
259 TERRACINA BLVD |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225350135 | Hoai Tran | Physician Assistant | 259 Terracina Blvd, Redlands, CA 92373-4847 | 2010-02-18 |
| 1790724391 | James R Watson | Orthopaedic Surgery | 259 Terracina Blvd, Redlands, CA 92373-4847 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508473422 | Mindfulness Counseling Services | Marriage & Family Therapist | 101 E. Redlands, Suite 170a, Redlands, CA 92373 | 2020-09-24 |
| 1710596721 | Vandna Mittal | Counselor | 26967 Beamount Avenue, 1020 Coronado Drive, Redlands, CA 92373 | 2020-07-26 |
| 1164062345 | Sara Bencoe | Nurse Practitioner | 101 E. Redlands Blvd. Ste. 106, Redlands, CA 92373 | 2020-01-15 |
| 1033604103 | John Duane Wuchenich | Anesthesiology | 451 Summit Avenue, Redlands, CA 92373 | 2018-06-29 |
| 1013401074 | Adept Hospice Care | Hospice Care, Community Based | 515 New Jersey St., Suite G, Redlands, CA 92373 | 2018-06-21 |
| 1134616121 | Rodrigo Robles | Student in an Organized Health Care Education/Training Program | 26001 Redlands Blvd ., 2nd Floor, 2d 301, Redlands, CA 92373 | 2018-04-16 |
| 1760987614 | Redlands Endodontics | Dentist | 245 Terracina Blvd Suite 207 B, Redlands, CA 92373 | 2018-03-23 |
| 1487164166 | Tyler Stafford | Behavioral Analyst | 1467 Ford St. Suite 104, Redlands, CA 92373 | 2017-10-06 |
| 1083131486 | Shannon Palmowski | Behavioral Analyst | Institute for Behavioral Health, 1041 Alabama Ave, Redlands, CA 92373 | 2017-08-25 |
| 1275062622 | Erim Sarbuland | Marriage & Family Therapist | 101 East Redlands Boulevard, Suites #215, Redlands, CA 92373 | 2017-06-08 |
| Find all providers in zip 92373 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
| 1194747014 | Raymond Kenneth Zarins | Orthopaedic Surgery | 1680 Plum Ln, Redlands, CA 92374-4532 | 2006-07-24 |
| 1871532960 | Paul D Burton | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2006-06-05 |
| 1164461224 | John W. Skubic | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 310, Redlands, CA 92374-9706 | 2006-06-05 |
| 1205436409 | San Bernardino Medical Orthopaedic Group Inc | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 240, Redlands, CA 92374-9705 | 2020-10-27 |
| 1114527314 | San Bdno Medical Orthopaedic Group Inc | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 230, Redlands, CA 92374-9705 | 2020-10-27 |
| 1477972651 | Robert Vercio | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2014-04-15 |
| 1750726857 | Grigor Grigoryan | Orthopaedic Surgery | 2 W Fern Ave, Redlands, CA 92373 | 2013-05-02 |
| 1831457175 | Garrett Lee Chapman | Orthopaedic Surgery | 2 W Fern Ave, Redlands, CA 92373 | 2012-04-24 |
| 1326363557 | Daniel J Patton | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2010-03-31 |
| Find all providers in REDLANDS | ||||
Please comment or provide details below to improve the information on BEAVER MEDICAL GROUP, LP.
| 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.