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BEAVER MEDICAL GROUP P C
NPI 1528312089
Durable Medical Equipment & Medical Supplies in Redlands, CA

Active since November 06, 2012
2 W FERN AVE, REDLANDS, CA 92373(909) 793-3311 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Beaver Medical Group P C NPPES

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

BEAVER MEDICAL GROUP P C (NPI 1528312089), doing business as Beaver Medical Group - Primary Care North, is a healthcare organization registered as a durable medical equipment & medical supplies in Redlands, California and active in the NPI registry since November 2012. The organization lists Emily Castillo, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1528312089
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameBEAVER MEDICAL GROUP P C
Location Address2 W FERN AVERedlands, CA 92373-5916
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380
Phone(909) 793-3311
Organization SubpartNo
Authorized OfficialEmily CastilloAssociate Director · (702) 450-2550
Enumeration DateNovember 6, 2012
Last NPPES UpdateSeptember 26, 2025
NPPES CertifiedSeptember 26, 2025
✔ NPI 1528312089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
License✔ Licensed in CA · G58102
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
2 W FERN AVE, Redlands, CA 92373
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Other Names 1

Doing Business AsBeaver Medical Group - Primary Care North

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.

CYNTHIA L PACHECO AGACNP
Nurse Practitioner (Acute Care)
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
MRS. LISA C ANDERSON N.P.
Nurse Practitioner
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
MR. LUIS A SANCHEZ DO
Anesthesiology
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
MADISON TUCKER ZAGURSKI PA-C
Physician Assistant (Medical)
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 792-2605
DR. BRADLEY BASINGER M.D.
Surgery
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
JOHN W MORTENSEN M.D.
Radiology (Diagnostic Radiology)
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311
NARMISHA VIJAY PATEL M.D
Hospitalist
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 583-2741
DR. KEVIN JAN CHAN MD
Hospitalist
2 W FERN AVE
REDLANDS, CA 92373
San Bernardino County (909) 793-3311

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 P C's NPI number?

The NPI number for Beaver Medical Group P C is 1528312089. It was assigned to this organization in the NPPES registry on November 6, 2012. The provider is doing business as Beaver Medical Group - Primary Care North.

Where is Beaver Medical Group P C located?

Beaver Medical Group P C is located at 2 W Fern Ave, Redlands, CA 92373. The listed phone number is (909) 793-3311.

What is Beaver Medical Group P C's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Beaver Medical Group P C was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.