OPTUM
NPI 1649503319
Family Medicine in Redlands, CA

Active since September 14, 2009
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: August 23, 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 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
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

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

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.

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.