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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BEAVER MEDICAL GROUP PC

Deactivated Organization

BEAVER MEDICAL GROUP PC is a Family Medicine organization located in YUCAIPA, California. NPI 1205013323 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · YUCAIPA, CA

This NPI has been deactivated. The record was deactivated on September 10, 2009. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1205013323
Provider Type
Organization
NPI Issued
Jan 31, 2008 (1.6082191780822 yrs)
Last Updated
Sep 30, 2022
Deactivated
Sep 10, 2009

Practice Information

Address
33758 YUCAIPA BLVD
YUCAIPA, CA, 923992243
Browse CA providers · Browse ZIP 92399
Phone
9097959747
Fax
9097954663
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Dermatology
Additional Specialty
Internal Medicine
Additional Specialty
Ophthalmology
Additional Specialty
Orthopaedic Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.