1831434059 NPI number — BEAVER MEDICAL GROUP, L.P.

Table of content: (NPI 1831434059)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831434059 NPI number — BEAVER MEDICAL GROUP, L.P.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BEAVER MEDICAL GROUP, L.P.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831434059
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/28/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2200
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
REDLANDS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92373-0722
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
909-335-4148
Provider Business Mailing Address Fax Number:
909-793-2916

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
245 TERRACINA BLVD.
Provider Second Line Business Practice Location Address:
STE. 209
Provider Business Practice Location Address City Name:
REDLANDS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92373-4865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-793-3311
Provider Business Practice Location Address Fax Number:
909-307-6567
Provider Enumeration Date:
11/28/2012

Additional Information

Authorized Official

Authorized Official Last Name:
PAYTON
Authorized Official First Name:
CHARLES
Authorized Official Middle Name:
Authorized Official Title or Position:
VICE PRESIDENT/CHIEF MEDICAL OFFICE
Authorized Official Telephone Number:
909-478-5162

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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