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BEAVER MEDICAL GROUP, LP
NPI 1346278363
Family Medicine in Highland, CA

Active since June 29, 2006CLIA 05D1053177 · Waiver
7223 CHURCH ST, STE C, HIGHLAND, CA 92346(909) 862-1191(909) 796-4158 Get Directions Write a Review

NPPES record last updated: September 25, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beaver Medical Group, Lp NPPES

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

BEAVER MEDICAL GROUP, LP (NPI 1346278363) is a healthcare organization registered as a family medicine in Highland, California and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through October 28, 2026 and lists Charles Chen, Senior Medical Director, as its authorized official.

NPPES Registry Identity

NPI1346278363
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAVER MEDICAL GROUP, LP
Location Address7223 CHURCH ST, STE CHighland, CA 92346-5869
Mailing AddressPo Box 10069San Bernardino, CA 92423-0069 · (909) 335-4188
Phone(909) 862-1191
Fax(909) 796-4158
Organization SubpartNo
Authorized OfficialCharles ChenSenior Medical Director · (909) 793-3311
Enumeration DateJune 29, 2006
Last NPPES UpdateSeptember 25, 2019
✔ NPI 1346278363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
7223 CHURCH ST, Highland, CA 92346
Open in Google Maps ↗

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 of Waiver 05D1053177

Beaver Medical Group, LP /Highland Office · Highland, CA
Active · expires Oct 28, 2026
CLIA Number05D1053177
Laboratory TypePhysician Office
Certificate Effective DateOctober 29, 2024
Certificate Expiration DateOctober 28, 2026
Laboratory DirectorMichael G. Leong, MD
Laboratory Phone(562) 988-7027
Laboratory LocationBeaver Medical Group, LP /Highland Office7000 Boulder Ave, Highland, CA 92346
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 15

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

LINDA FAYE DOHERTY PA
Physician Assistant
7223 CHURCH ST, # C
HIGHLAND, CA 92346
San Bernardino County (909) 862-1191
DR. HAI THUONG PHAN MD
Internal Medicine (Nephrology)
7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346
San Bernardino County (909) 883-9283
HAI T PHAN
Internal Medicine (Nephrology)
7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346
San Bernardino County (909) 883-9283
KLEMENS NGUYEN HUYNH M.D.
Internal Medicine (Nephrology)
7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346
San Bernardino County (909) 882-0702
MR. EDWARD REFUGIO SERROS MD
Internal Medicine (Nephrology)
7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346
San Bernardino County (909) 882-0702
HIEP VAN LE M.D.
Internal Medicine (Nephrology)
7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346
San Bernardino County (909) 882-0702
DR. HOA D VU MD
Internal Medicine (Nephrology)
7223 CHURCH ST, SUITE A-20
HIGHLAND, CA 92346
San Bernardino County (909) 381-3900
MR. HUNG NGUYEN DO
Family Medicine
7223 CHURCH ST
HIGHLAND, CA 92346
San Bernardino County (909) 862-1191

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 1346278363. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Beaver Medical Group, LP located?

Beaver Medical Group, LP is located at 7223 Church St Ste C, Highland, CA 92346. The listed phone number is (909) 862-1191.

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 of Waiver (number 05D1053177) is associated with this NPI, valid through October 28, 2026. 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 September 25, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.