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

NPI Status: Active since April 29, 2008

Contact Information

7000 BOULDER AVE
HIGHLAND, CA
ZIP 92346
Phone: (909) 862-1191

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  • Organization
  • Non-Pharmacy Dispensing Site
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About BEAVER MEDICAL GROUP - HIGHLAND EXTENDED CARE

This page provides the complete NPI Profile along with additional information for Beaver Medical Group - Highland Extended Care, a provider established in Highland, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1639344716 assigned on April 2008. The practitioner's primary taxonomy code is 332900000X with license number A69210 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The provider's is doing business as Beaver Medical Group - Highland Extended Care. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1639344716
Provider Legal Name
BEAVER MEDICAL GROUP LP
Other Organization Name
BEAVER MEDICAL GROUP - HIGHLAND EXTENDED CARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
7000 BOULDER AVE HIGHLAND, CA 92346
Location Phone
(909) 862-1191
Mailing Address
9276 SCRANTON RD SUITE 100 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-29-2008
Last Update Date
06-09-2016
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Beaver Medical Group - Highland Extended Care is a medicare supplier with PTAN 20669909 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Contracture Treatment Devices: Dynamic Splint or Heat & Cold Applications or Negative Pressure Wound Therapy Pumps/Supplies or Traction Equipment or Canes and/or Crutches or Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Penile Pumps or Voice Prosthetics or Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Nebulizer Equipment and/or Supplies or Surgical Dressings or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
A69210
License State
CA
Taxonomy Description
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.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 625-2990

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20669909
Accepts Medicare Assignment
YES
Specialities List
Optician.
Provider Type List
MULTI-SPECIALTY - PHYSICIAN.
Competitive Bidding
NO

Supplies List

  • 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
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Penile Pumps -
  • Voice Prosthetics - Electronic Larynx, Voice amplifier
  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape
  • Diabetic Shoes and Inserts - Shoes, Socks, Insoles
  • Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1639344716, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
3
Doubled → 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
4
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
1
Doubled → 2
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 3 → 6 4 → 8 1 → 2

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 6 + 9 + 6 + 4 + 8 + 7 + 2 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1639344716.

Other Providers at the Same Location


The following 19 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
7000 BOULDER AVE, RADIOLOGY DEPARTMENT
HIGHLAND, CA 92346
Family Medicine
7000 BOULDER AVE
HIGHLAND, CA 92346
Internal Medicine (Gastroenterology)
7000 BOULDER AVE
HIGHLAND, CA 92346
Family Medicine
7000 BOULDER AVE
HIGHLAND, CA 92346
Internal Medicine (Gastroenterology)
7000 BOULDER AVE
HIGHLAND, CA 92346
Pediatrics
7000 BOULDER AVE
HIGHLAND, CA 92346
Nurse Practitioner
7000 BOULDER AVE
HIGHLAND, CA 92346
Dermatology
7000 BOULDER AVE
HIGHLAND, CA 92346
Physician Assistant
7000 BOULDER AVE
HIGHLAND, CA 92346
Emergency Medicine
7000 BOULDER AVE
HIGHLAND, CA 92346
Internal Medicine (Gastroenterology)
7000 BOULDER AVE
HIGHLAND, CA 92346
Emergency Medicine
7000 BOULDER AVE
HIGHLAND, CA 92346
Radiology (Diagnostic Radiology)
7000 BOULDER AVE
HIGHLAND, CA 92346
Radiology (Diagnostic Radiology)
7000 BOULDER AVE
HIGHLAND, CA 92346
Audiologist
7000 BOULDER AVE
HIGHLAND, CA 92346
Otolaryngology
7000 BOULDER AVE
HIGHLAND, CA 92346
Family Medicine
7000 BOULDER AVE
HIGHLAND, CA 92346
Family Medicine
7000 BOULDER AVE
HIGHLAND, CA 92346
Psychiatry & Neurology (Neurology)
7000 BOULDER AVE
HIGHLAND, CA 92346

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639344716, enumerated as an "organization" on April 29, 2008.

The provider is located at 7000 BOULDER AVE HIGHLAND, CA 92346 and the phone number is (909) 862-1191.

Non-Pharmacy Dispensing Site with taxonomy code 332900000X.