BEAVER MEDICAL GROUP P C
NPI 1790029759
Durable Medical Equipment & Medical Supplies in Redlands, CA
NPI Status: Active since November 15, 2012
Contact Information
1690 BARTON ROAD
REDLANDS, CA
ZIP 92373
Phone: (909) 793-3311
Fax: (909) 335-4111
- Organization
- Durable Medical Equipment & Medical Supp...
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 05D2258185
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 04-17-2026
About BEAVER MEDICAL GROUP P C
This page provides the complete NPI Profile along with additional information for Beaver Medical Group P C, a provider established in Redlands, California operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1790029759 assigned on November 2012. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Emily Castillo (Associate Director)
- NPI
- 1790029759
- Provider Name
- BEAVER MEDICAL GROUP P C
- Entity Type
- Organization
- Location Address
- 1690 BARTON ROAD REDLANDS, CA 92373
- Location Phone
- (909) 793-3311
- Location Fax
- (909) 335-4111
- Mailing Address
- PO BOX 35380 LAS VEGAS, NV 89133
- Mailing Phone
- (702) 579-3203
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-15-2012
- Last Update Date
- 04-02-2025
- Code Navigator
Beaver Medical Group P C is a medicare supplier with PTAN 20669927 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 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
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20669927
- Accepts Medicare Assignment
- YES
- Specialities List
- Optometrist.
- 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
- 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
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2258185
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- April 18, 2024
- Certificate Expiration Date
- April 17, 2026
- Laboratory Director
- ALVIN UMEDA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Beaver Medical Group P C to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for BEAVER MEDICAL GROUP P C
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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 1790029759, we treat the final digit (9) 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 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 61 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790029759, enumerated as an "organization" on November 15, 2012.
The provider is located at 1690 BARTON ROAD REDLANDS, CA 92373 and the phone number is (909) 793-3311.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
