PATTY BEAVER LSW
NPI 1003273590
Counselor - Mental Health in Loma Linda, CA

Q: What is Patty Beaver's NPI number?

The NPI number for Patty Beaver is 1003273590. It was assigned to this individual provider in the NPPES registry on January 28, 2016.

Q: What is Patty Beaver's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Patty Beaver was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2016

11201 BENTON ST, LOMA LINDA, CA 92357(909) 674-2794 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2022, Jan 28, 2016 (2 updates tracked since 2016).

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About Patty Beaver Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATTY BEAVER LSW (NPI 1003273590) is an individual mental health provider in Loma Linda, California, licensed in Puerto Rico (11742) and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1003273590

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NamePATTY BEAVERCredential: LSW

Location Address11201 BENTON STLoma Linda, CA 92357-5703

Mailing Address11201 Benton StLoma Linda, CA 92357-1000 · (909) 674-2794

Phone(909) 674-2794

Sole ProprietorYes

Enumeration DateJanuary 28, 2016

Last NPPES UpdateOctober 20, 20222 updates tracked since enumeration

NPPES CertifiedOctober 20, 2022

✔ NPI 1003273590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in PR · 11742

11201 BENTON ST, Loma Linda, CA 92357

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ARTHUR CHUNG-LIUNG CHANG M.D.

Radiology (Diagnostic Radiology)

11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357

San Bernardino County (909) 825-7084

JUNGMI LEE LCSW

Social Worker (Clinical)