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BEAVER MEDICAL GROUP, LP
NPI 1144265919
Optometrist in Colton, CA

Active since June 17, 2006CLIA Certified · 6 labs
1300 E COOLEY DR, COLTON, CA 92324(909) 370-4100(909) 796-4158 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Aug 22, 2020 (2 updates tracked since 2020).

About Beaver Medical Group, Lp NPPES

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

BEAVER MEDICAL GROUP, LP (NPI 1144265919) is a healthcare organization registered as an optometrist in Colton, California and active in the NPI registry since June 2006. The organization holds 6 active CLIA laboratory certificates and lists Dennis P Flynn, Vice President Of Medical Affairs, as its authorized official.

NPPES Registry Identity

NPI1144265919
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameBEAVER MEDICAL GROUP, LP
Location Address1300 E COOLEY DRColton, CA 92324-3905
Mailing AddressPo Box 2200Redlands, CA 92373-0722 · (909) 793-3311 · Fax (909) 796-4158
Phone(909) 370-4100
Fax(909) 796-4158
Organization SubpartNo
Authorized OfficialDennis P FlynnVice President Of Medical Affairs · (909) 799-1818
Enumeration DateJune 17, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
✔ NPI 1144265919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1300 E COOLEY DR, Colton, CA 92324
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 7

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0929914

Beaver Medical Group LP, Cooley Ranch Office · Colton, CA
Active · expires Jun 24, 2027
CLIA Number05D0929914
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateJune 25, 2025
Certificate Expiration DateJune 24, 2027
Laboratory DirectorKelvin Ma
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Medical Group LP, Cooley Ranch Office1300 E Cooley Drive, Colton, CA 92324
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2258185

Beaver Medical Group, PC Ent Red · Redlands, CA
Active · expires Apr 17, 2028
CLIA Number05D2258185
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateApril 18, 2026
Certificate Expiration DateApril 17, 2028
Laboratory DirectorAlvin Umeda
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Medical Group, PC Ent Red259 Terracina Blvd, Redlands, CA 92373
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D1051242

Beaver Medical Group, L.P./Redlands · Redlands, CA
Active · expires Feb 26, 2028
CLIA Number05D1051242
Laboratory TypePhysician Office
Certificate Effective DateFebruary 27, 2026
Certificate Expiration DateFebruary 26, 2028
Laboratory DirectorStephen N. Hordynski
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Medical Group, L.P./Redlands2 W Fern Ave, Redlands, CA 92373
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 05D2003151

Beaver Medical Group, LP Oasis Medical Plaza · Redlands, CA
Active · expires Feb 2, 2028
CLIA Number05D2003151
Laboratory TypePhysician Office
Certificate Effective DateFebruary 3, 2026
Certificate Expiration DateFebruary 2, 2028
Laboratory DirectorSteven O. Rimmer
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Medical Group, LP Oasis Medical Plaza1690 Barton Rd Ste 200, Redlands, CA 92373
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2106963

Beaver Medical Group PC · Redlands, CA
Active · expires Oct 31, 2026
CLIA Number05D2106963
Laboratory TypePhysician Office
Certificate Effective DateNovember 1, 2024
Certificate Expiration DateOctober 31, 2026
Laboratory DirectorCharles H. Yoh
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Medical Group PC245 Terracina Blvd, Redlands, CA 92373
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0675174

Beaver Medical Group LP Oasis Pediatrics · Redlands, CA
Active · expires Aug 31, 2026
CLIA Number05D0675174
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorVaronica Dixon
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Medical Group LP Oasis Pediatrics1690 Barton Rd, Ste 104, Redlands, CA 92373
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

GLEN R. GAERTE O.D.
Optometrist
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-4100
ARTURO SANTIAGO VAZQUEZ M.D.
Internal Medicine
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-4100
DR. KELVIN MA D.O.
Family Medicine
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 970-4100
DR. CALVIN MINH DUONG M.D.
Internal Medicine
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-4100
CHRISTINE J RENTZ P.A.
Physician Assistant
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-4100
MRS. FRANCESCA AMANDA HARPER
Marriage & Family Therapist
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 580-3714
DR. DOUGLAS J. HAY MD
Internal Medicine
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-4100
USMAN SIDDIQUI
Family Medicine
1300 E COOLEY DR
COLTON, CA 92324
San Bernardino County (909) 370-4100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Beaver Medical Group, LP's NPI number?

The NPI number for Beaver Medical Group, LP is 1144265919. It was assigned to this organization in the NPPES registry on June 17, 2006.

Where is Beaver Medical Group, LP located?

Beaver Medical Group, LP is located at 1300 E Cooley Dr, Colton, CA 92324. The listed phone number is (909) 370-4100.

What is Beaver Medical Group, LP's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Beaver Medical Group, LP hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Beaver Medical Group, LP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.