BEAVER MEDICAL GROUP - HIGHLAND EXTENDED CARE
NPI 1639344716
Non-Pharmacy Dispensing Site in Highland, CA

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

The NPI number for Beaver Medical Group LP is 1639344716. It was assigned to this organization in the NPPES registry on April 29, 2008. The provider is doing business as Beaver Medical Group - Highland Extended Care.

Q: What is Beaver Medical Group LP's specialty?

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

Active since April 29, 2008

7000 BOULDER AVE, HIGHLAND, CA 92346(909) 862-1191 Get Directions Write a Review

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Beaver Medical Group - Highland Extended Care NPPES

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

BEAVER MEDICAL GROUP - HIGHLAND EXTENDED CARE (NPI 1639344716) is a healthcare organization registered as a non-pharmacy dispensing site in Highland, California and active in the NPI registry since April 2008. The organization lists Kenny Heine, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1639344716

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameBEAVER MEDICAL GROUP LP

Location Address7000 BOULDER AVEHighland, CA 92346-3348

Mailing Address9276 Scranton Rd, Suite 100San Diego, CA 92121-7701

Phone(909) 862-1191

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineVp Of Operations · (858) 625-2990

Enumeration DateApril 29, 2008

Last NPPES UpdateJune 9, 2016

✔ NPI 1639344716 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 · A69210

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.)

7000 BOULDER AVE, Highland, CA 92346

Open in Google Maps ↗

Other Names 1

Doing Business AsBeaver Medical Group - Highland Extended Care

Medical Equipment Supplier Medicare DMEPOS 16

Medicare supplier enrollment and the product categories Beaver Medical Group LP carries, from the Medicare DMEPOS supplier directory.

Beaver Medical Group LP

DMEPOS supplier · Highland, CAOperated by Beaver Medical Group P C

✔

Accepts Medicare assignment

Beaver Medical Group LP agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20669909

Medicare Participant SinceAugust 17, 1994

Supplier Location7000 Boulder AveHighland, CA 92346

Phone(909) 862-1191

Provider TypeMulti-Specialty - Physician

Supplier Specialties

Optician

Medicare Product Categories

Contracture Treatment Devices: Dynamic Splint

Dynamic splinting devices for the knee, elbow, wrist, finger, or toe

Heat & Cold Applications

Heat therapy, Cold therapy, Heating pads

Negative Pressure Wound Therapy Pumps/Supplies

Wound care sets, Pumps, Canisters

Traction Equipment

Traction tables, Traction machines, Inversion tables

Canes and/or Crutches

Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches

Orthoses: Custom Fabricated

Custom met pads, Custom heel pads, Custom heel spur pads

Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

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.

RAYMOND SEDGH M.D.

Family Medicine