1. Home
  2. Directory
  3. California
  4. Redlands
  5. Family Medicine
  6. NPI Profile

BEAVER ADVANTAGE HEALTH CENTER
NPI 1275570830
Family Medicine in Redlands, CA

Active since June 01, 2006CLIA 05D1051694 · Microscopy
1600 E CITRUS AVE, SUITE # A, REDLANDS, CA 92374(909) 794-3682(909) 796-4158 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Feb 19, 2020 (2 updates tracked since 2020).

About Beaver Advantage Health Center NPPES

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

BEAVER ADVANTAGE HEALTH CENTER (NPI 1275570830) is a healthcare organization registered as a family medicine in Redlands, California and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through March 7, 2028 and lists Charles T Chen, Senior Medical Director, as its authorized official.

NPPES Registry Identity

NPI1275570830
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAVER MEDICAL GROUP, LP
Location Address1600 E CITRUS AVE, SUITE # ARedlands, CA 92374-4270
Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188
Phone(909) 794-3682
Fax(909) 796-4158
Organization SubpartYes
Authorized OfficialCharles T ChenSenior Medical Director · (097) 933-3119
Enumeration DateJune 1, 2006
Last NPPES UpdateFebruary 19, 20202 updates tracked since enumeration
✔ NPI 1275570830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1600 E CITRUS AVE, Redlands, CA 92374
Open in Google Maps ↗

Other Names 1

Doing Business AsBeaver Advantage Health Center

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

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) 05D1051694

Beaver Advantage Health Center · Redlands, CA
Active · expires Mar 7, 2028
CLIA Number05D1051694
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateMarch 8, 2026
Certificate Expiration DateMarch 7, 2028
Laboratory DirectorMichael Wilson
Laboratory Phone(909) 786-0844
Laboratory LocationBeaver Advantage Health Center1600 E Citrus Ave, Redlands, CA 92374
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.

Other Providers at the Same Location NPPES 13

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

DR. KATRINA CARTER MD
Family Medicine
1600 E CITRUS AVE
REDLANDS, CA 92374
San Bernardino County (909) 794-3682
MOUNA HADDAD-WILSON M.D.
Internal Medicine
1600 E CITRUS AVE, SUITE A
REDLANDS, CA 92374
San Bernardino County (909) 794-3682
AMY BLACKMON MD
Internal Medicine
1600 E CITRUS AVE
REDLANDS, CA 92374
San Bernardino County (909) 794-3682
NAIRY SARKIS MD
Family Medicine
1600 E CITRUS AVE, STE A
REDLANDS, CA 92374
San Bernardino County (909) 794-3682
RITA NEWSOM
Nurse Practitioner (Family)
1600 E CITRUS AVE
REDLANDS, CA 92374
San Bernardino County (909) 794-3628
JANA LYNN WEBB D.O.
Pediatrics
1600 E CITRUS AVE
REDLANDS, CA 92374
San Bernardino County (909) 794-3682
DR. GREGORY M. JONES MD
Family Medicine
1600 E CITRUS AVE, STE., A
REDLANDS, CA 92374
San Bernardino County (909) 794-3682
DR. ROBERT CM BOURNE M.D.
Family Medicine
1600 E CITRUS AVE
REDLANDS, CA 92374
San Bernardino County (702) 579-3203

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 1275570830. It was assigned to this organization in the NPPES registry on June 1, 2006. The provider is doing business as Beaver Advantage Health Center.

Where is Beaver Medical Group, LP located?

Beaver Medical Group, LP is located at 1600 E Citrus Ave Suite # A, Redlands, CA 92374. The listed phone number is (909) 794-3682.

What is Beaver Medical Group, LP's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Beaver Medical Group, LP hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1051694) is associated with this NPI, valid through March 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Beaver Medical Group, LP was last updated on February 19, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.