Beaver Medical Group P C
NPI 1619914959 · Internal Medicine Physician · Banning, CA
Enrolled with Medicare as Dme Supplier - Physician - Optometrist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beaver Medical Group P C is a Internal Medicine Physician organization in Banning, CA (NPI 1619914959).
Provider details
- NPI number
- 1619914959
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Castillo, Associate Director(702) 480-2550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Optometrist152W00000X
Eye and Vision Services Providers
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Cardiovascular Disease Physician207RC0000X
Allopathic & Osteopathic Physicians
- Pulmonary Disease Physician207RP1001X
Allopathic & Osteopathic Physicians
- Medical Oncology Physician207RX0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Optum Banner Specialty Care
Registry dates
- Enumerated
- 2006-06-02
- Last updated
- 2025-04-14
- Certified
- 2025-04-14
Frequently asked questions
- What is Beaver Medical Group P C's NPI number?
- Beaver Medical Group P C's National Provider Identifier (NPI) is 1619914959, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaver Medical Group P C?
- Beaver Medical Group P C is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Beaver Medical Group P C located?
- Beaver Medical Group P C's practice location on file with NPPES is 6109 W Ramsey St, Banning, CA 92220-3051.
- What is Beaver Medical Group P C's phone number?
- The practice phone number listed in the NPPES registry for Beaver Medical Group P C is (951) 845-0313.
- Does Beaver Medical Group P C accept Medicare?
- Beaver Medical Group P C is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Beaver Medical Group P C?
- The authorized official listed on Beaver Medical Group P C's NPPES record is Emily Castillo, Associate Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaver Medical Group P C's NPI active?
- Yes — Beaver Medical Group P C's NPI (1619914959) is active in the NPPES registry as of the last update on 2025-04-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.