OrganizationActive
Beaver Medical Group Lp
NPI 1639344716 · Non-Pharmacy Dispensing Site · Highland, CA
Beaver Medical Group Lp is a Non-Pharmacy Dispensing Site organization in Highland, CA (NPI 1639344716).
Provider details
- NPI number
- 1639344716
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Vp of Operations(858) 625-2990
- License
- A69210 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
7000 Boulder Ave
Highland, CA 92346-3348
Phone: (909) 862-1191
Street-level locationGet directions
Mailing address
9276 Scranton Rd
San Diego, CA 92121-7701
Other names (DBA / former)
- Doing business as
- Beaver Medical Group - Highland Extended Care
Registry dates
- Enumerated
- 2008-04-29
- Last updated
- 2016-06-09
Frequently asked questions
- What is Beaver Medical Group Lp's NPI number?
- Beaver Medical Group Lp's National Provider Identifier (NPI) is 1639344716, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaver Medical Group Lp?
- Beaver Medical Group Lp is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is Beaver Medical Group Lp located?
- Beaver Medical Group Lp's practice location on file with NPPES is 7000 Boulder Ave, Highland, CA 92346-3348.
- What is Beaver Medical Group Lp's phone number?
- The practice phone number listed in the NPPES registry for Beaver Medical Group Lp is (909) 862-1191.
- Who is the authorized official for Beaver Medical Group Lp?
- The authorized official listed on Beaver Medical Group Lp's NPPES record is Kenny Heine, Vp of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaver Medical Group Lp's NPI active?
- Yes — Beaver Medical Group Lp's NPI (1639344716) is active in the NPPES registry as of the last update on 2016-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.