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BEAVER MEDICAL GROUP HIGHLAND SPRINGS
NPI 1629482641
Non-Pharmacy Dispensing Site in Beaumont, CA

Active since June 18, 2014
81 HIGHLAND SPRINGS AVE, SUITE 200, BEAUMONT, CA 92223(951) 845-0313 Get Directions Write a Review

NPPES record last updated: January 8, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Beaver Medical Group Highland Springs NPPES

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

BEAVER MEDICAL GROUP HIGHLAND SPRINGS (NPI 1629482641) is a healthcare organization registered as a non-pharmacy dispensing site in Beaumont, California and active in the NPI registry since June 2014. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1629482641
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameBEAVER MEDICAL GROUP LP
Location Address81 HIGHLAND SPRINGS AVE, SUITE 200Beaumont, CA 92223-3170
Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701
Phone(951) 845-0313
Organization SubpartYesParent: Medvantx, Inc.
Authorized OfficialKenny HeineVp Of Operations · (858) 964-1506
Enumeration DateJune 18, 2014
Last NPPES UpdateJanuary 8, 2016
✔ NPI 1629482641 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 · A52212
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.)
81 HIGHLAND SPRINGS AVE, Beaumont, CA 92223
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Other Names 1

Doing Business AsBeaver Medical Group Highland Springs

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.

MR. LUI KONG YAP PA-C
Physician Assistant (Medical)
81 HIGHLAND SPRINGS AVE, STE.200
BEAUMONT, CA 92223
Riverside County (951) 845-0313
MS. SUSANNAH REAY ELTON PA-C
Physician Assistant
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Riverside County (951) 845-0313
ROBERT CHI MD
Family Medicine
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Riverside County (951) 846-2611
LOMA LINDA UNIVERSITY RADIATION MEDICINE
Radiology (Radiation Oncology)
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Riverside County (909) 558-3012
DR. DOUGLAS STEPHAN ANDERS D.O.
Family Medicine
81 HIGHLAND SPRINGS AVE, SUITE 306
BEAUMONT, CA 92223
Riverside County (951) 769-2222
DR. CHRISTER A. JORETEG MD
Internal Medicine
81 HIGHLAND SPRINGS AVE, SUITE 200
BEAUMONT, CA 92223
Riverside County (951) 845-0313
AMAR DIXIT M.D.
Allergy & Immunology
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Riverside County (951) 845-0313
PRIYAL TEJASKUMAR AMIN
Nurse Practitioner
81 HIGHLAND SPRINGS AVE
BEAUMONT, CA 92223
Riverside County (909) 786-0703

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 1629482641. It was assigned to this organization in the NPPES registry on June 18, 2014. The provider is doing business as Beaver Medical Group Highland Springs.

Where is Beaver Medical Group LP located?

Beaver Medical Group LP is located at 81 Highland Springs Ave Suite 200, Beaumont, CA 92223. The listed phone number is (951) 845-0313.

What is Beaver Medical Group LP's specialty?

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

When was this NPI record last updated?

The NPPES record for Beaver Medical Group LP was last updated on January 8, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.