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OPTUM
NPI 1649503319
Family Medicine in Redlands, CA

Active since September 14, 2009CLIA Certified · 6 labs
2 WEST FERN AVENUE, REDLANDS, CA 92373(909) 793-3311(909) 335-1936 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Aug 20, 2024, Apr 4, 2023, May 5, 2021 (3 updates tracked since 2021).

About Optum NPPES

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

OPTUM (NPI 1649503319) is a healthcare organization registered as a family medicine in Redlands, California and active in the NPI registry since September 2009. The organization holds 6 active CLIA laboratory certificates and lists Emily Castillo, Associate Director, as its authorized official.

NPPES Registry Identity

NPI1649503319
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameBEAVER MEDICAL GROUP P C
Location Address2 WEST FERN AVENUERedlands, CA 92373-5916
Mailing AddressPo Box 35380Las Vegas, NV 89133-5380 · (702) 480-2550
Phone(909) 793-3311
Fax(909) 335-1936
Organization SubpartNo
Authorized OfficialEmily CastilloAssociate Director · (702) 480-2550
Enumeration DateSeptember 14, 2009
Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1649503319 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedDermatologyTaxonomy 207N00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & GynecologyTaxonomy 207V00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedSurgeryTaxonomy 208600000X
Also ListedUrologyTaxonomy 208800000X
2 WEST FERN AVENUE, Redlands, CA 92373
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Other Names 1

Doing Business AsOptum

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 6

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 of Waiver 29D2076570

Optumcare Primary Care-Cactus · Las Vegas, NV
Active · expires Apr 21, 2028
CLIA Number29D2076570
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorVictor M. Muro
Laboratory Phone(702) 724-8777
Laboratory LocationOptumcare Primary Care-Cactus1655 E Cactus Ave Suite 400, Las Vegas, NV 89183
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 29D2076573

Optumcare Primary Care-Del Webb · Las Vegas, NV
Active · expires Apr 21, 2028
CLIA Number29D2076573
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorVictor M. Muro
Laboratory Phone(702) 724-8880
Laboratory LocationOptumcare Primary Care-Del Webb8526 Del Webb Blvd, Las Vegas, NV 89134
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 29D2126282

Optum Pulmonology · Las Vegas, NV
Active · expires Mar 11, 2028
CLIA Number29D2126282
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorRobert M Lampert
Laboratory Phone(702) 724-8844
Laboratory LocationOptum Pulmonology4750 Oakey Blvd Fl 2, Las Vegas, NV 89102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 29D2126395

Optumcare Cancer Care-Cactus · Las Vegas, NV
Active · expires Jul 23, 2027
CLIA Number29D2126395
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorRussell P. Gollard
Laboratory Phone(702) 724-8787
Laboratory LocationOptumcare Cancer Care-Cactus1655 E Cactus Ave Floor 3, Las Vegas, NV 89183
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Compliance 29D2125370

Optumcare Cancer Care-W Charleston · Las Vegas, NV
Active · expires Jun 25, 2027
CLIA Number29D2125370
Laboratory TypePhysician Office
Certificate Effective DateJune 26, 2025
Certificate Expiration DateJune 25, 2027
Laboratory DirectorRussell P. Gollard
Laboratory Phone(702) 824-8787
Laboratory LocationOptumcare Cancer Care-W Charleston2300 W Charleston, Las Vegas, NV 89102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 29D2167600

Optumcare Cancer Care-W Charleston Nuclear Med · Las Vegas, NV
Active · expires Jun 10, 2027
CLIA Number29D2167600
Laboratory TypePhysician Office
Certificate Effective DateJune 11, 2025
Certificate Expiration DateJune 10, 2027
Laboratory DirectorRussell P. Gollard
Laboratory Phone(702) 724-8787
Laboratory LocationOptumcare Cancer Care-W Charleston Nuclear Med2300 W Charleston Blvd, Las Vegas, NV 89102
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 1649503319. It was assigned to this organization in the NPPES registry on September 14, 2009. The provider is doing business as Optum.

Where is Beaver Medical Group P C located?

Beaver Medical Group P C is located at 2 West Fern Avenue, 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 Family Medicine with taxonomy code 207Q00000X.

Does Beaver Medical Group P C hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Beaver Medical Group P C was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.