BEAVER MEDICAL GROUP LP
NPI 1437564143
Non-Pharmacy Dispensing Site in Banning, CA

NPI Status: Active since June 23, 2014

Contact Information

5957 W RAMSEY ST
SECOND FLOOR POD D
BANNING, CA
ZIP 92220
Phone: (951) 845-0313

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  • Organization
  • Non-Pharmacy Dispensing Site

About BEAVER MEDICAL GROUP LP

This page provides the complete NPI Profile along with additional information for Beaver Medical Group Lp, a provider established in Banning, California operating as a Non-pharmacy Dispensing Site. The healthcare provider is registered in the NPI registry with number 1437564143 assigned on June 2014. The practitioner's primary taxonomy code is 332900000X with license number 107871 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Beaver Medical Group Lp. The authorized official of this NPI record is Kenny Heine (Vp Of Operations)

NPI
1437564143
Provider Legal Name
BEAVER MEDICAL GROUP RAMSEY PRIMARY
Other Organization Name
BEAVER MEDICAL GROUP LP
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
5957 W RAMSEY ST SECOND FLOOR POD D BANNING, CA 92220
Location Phone
(951) 845-0313
Mailing Address
5626 OBERLIN DR SUITE 110 SAN DIEGO, CA 92121
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-23-2014
Last Update Date
06-23-2014
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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

Non-Pharmacy Dispensing Site

Taxonomy Code
332900000X
Type
Suppliers
License No.
107871
License State
CA
Taxonomy Description
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNY HEINE

Authorized Official Title
VP OF OPERATIONS
Authorized Official Phone
(858) 964-1506

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1437564143
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2467106818
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 6 + 7 + 1 + 0 + 6 + 8 + 1 + 8 + 24 = 67
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 67 = 33

The NPI number 1437564143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447564513DR. HONG VO M.D
Individual
Internal Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1528092459 IRADA DALILI M.D.
Individual
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1558525220DR. ROBERT REAGAN SUONG MD
Individual
Obstetrics & Gynecology5957 W RAMSEY ST
BANNING, CA 92220
(951) 945-0313
1699715714 GLENDA M. YETTER N.P.
Individual
Nurse Practitioner5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1316240971 SUSAN JANE SHEEDY NP
Individual
Nurse Practitioner (Obstetrics & Gynecology)5957 W RAMSEY ST
BANNING, CA 92220
(951) 846-0313
1891730479DR. OMAR J BASHIR D.O.
Individual
Internal Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1063442952DR. JILL R CUNI M.D.
Individual
Pediatrics5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1487085403 JANET COOPER
Individual
Nurse Practitioner (Family)5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1457372179BEAVER MEDICAL GROUP, LP
Organization
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1770080731 JUSTIN PUTTHA TUOT
Individual
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1255828802 VINH JOHN XUAN LE MD
Individual
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1205270766 JOSHUA HYUNG CHOI M.D.
Individual
Internal Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1861705030 TODD NGUYEN M.D.
Individual
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1508052010 MARK ANTHONY MAYRINA SANTOS M.D.
Individual
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313
1598922882 SUSANNA NICHOLASS MD
Individual
Family Medicine5957 W RAMSEY ST
BANNING, CA 92220
(951) 845-0313

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437564143, enumerated in the NPI registry as an "organization" on June 23, 2014

The provider is located at 5957 W Ramsey St Second Floor Pod D Banning, Ca 92220 and the phone number is (951) 845-0313

This medical organization specializes in Non-Pharmacy Dispensing Site with taxonomy code 332900000X

This NPI record was last updated on June 23, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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