BEAVER MEDICAL GROUP PC – NPI #1205013323
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

BEAVER MEDICAL GROUP PC is a provider located in YUCAIPA, CA. NPPES has assigned the NPI number 1205013323 to BEAVER MEDICAL GROUP PC on January 31, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine. Bear in mind that having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was previously updated about 4 years ago on Sep 30, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEAVER MEDICAL GROUP PC below.

NPI Profile for
BEAVER MEDICAL GROUP PC

NPI Number
1205013323
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEAVER MEDICAL GROUP PC
Primary location
33758 YUCAIPA BLVD
YUCAIPA, CA 92399-2243
Phone: (909) 795-9747 Fax: (909) 795-4663
Mailing address
PO BOX 10069
SAN BERNARDINO, CA 92423-0069
Phone: (909) 335-4188 Fax: (909) 796-4158
Organization Subpart
No
Authorized Official
CHARLES CHEN
CHIEF MEDICAL OFFICER
Phone: (909) 793-3311
Updated
Certification Date
Sep 30, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.