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

BEAVER MEDICAL GROUP, LP

Deactivated Organization

BEAVER MEDICAL GROUP, LP is a Pediatrics organization located in BANNING, California. NPI 1457372179 is deactivated in the NPPES registry. Verify at CMS.

Pediatrics · BANNING, 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 Deactivated NPIs are no longer valid for billing or credentialing.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
1457372179
Provider Type
Organization
NPI Issued
Jul 21, 2006 (3.1397260273973 yrs)
Last Updated
Sep 11, 2025
Deactivated
Sep 10, 2009

Practice Information

Address
5957 W RAMSEY ST
BANNING, CA, 922203058
Browse CA providers · Browse ZIP 92220
Phone
9518450313
Fax
9097964158
Primary Specialty
Pediatrics
208000000X
Additional Specialty
Internal Medicine
Additional Specialty
Pediatrics

Other Pediatrics Organizations in BANNING, CA

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.