BEAVER MEDICAL GROUP LP
NPI 1437564143
Non-Pharmacy Dispensing Site in Banning, CA

Q: What is Beaver Medical Group Ramsey Primary's NPI number?

The NPI number for Beaver Medical Group Ramsey Primary is 1437564143. It was assigned to this organization in the NPPES registry on June 23, 2014. The provider is doing business as Beaver Medical Group LP.

Q: What is Beaver Medical Group Ramsey Primary's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since June 23, 2014CLIA 05D0711926 · Microscopy

5957 W RAMSEY ST, SECOND FLOOR POD D, BANNING, CA 92220(951) 845-0313 Get Directions Write a Review

NPPES record last updated: June 23, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Beaver Medical Group Lp NPPES

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

BEAVER MEDICAL GROUP LP (NPI 1437564143) is a healthcare organization registered as a non-pharmacy dispensing site in Banning, California and active in the NPI registry since June 2014. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1437564143

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameBEAVER MEDICAL GROUP RAMSEY PRIMARY

Location Address5957 W RAMSEY ST, SECOND FLOOR POD DBanning, CA 92220-3058

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705

Phone(951) 845-0313

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506

Enumeration DateJune 23, 2014

✔ NPI 1437564143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · 107871

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

5957 W RAMSEY ST, Banning, CA 92220

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Other Names 1

Doing Business AsBeaver Medical Group Lp

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) 05D0711926

Beaver Medical Group L.P./Banning Specialty Care · Banning, CA

Active · expires Aug 31, 2026

CLIA Number05D0711926

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorLindsay Ahmed

Laboratory Phone(909) 801-1366

Laboratory LocationBeaver Medical Group L.P./Banning Specialty Care6109 W Ramsey St, Banning, CA 92220

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 17

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

JOSHUA HYUNG CHOI M.D.

Internal Medicine