Beaver Medical Group P C
NPI 1649503319 · Family Medicine Physician · Redlands, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beaver Medical Group P C is a Family Medicine Physician organization in Redlands, CA (NPI 1649503319).
Provider details
- NPI number
- 1649503319
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Emily Castillo, Associate Director(702) 480-2550
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
- Dermatology Physician207N00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Gastroenterology Physician207RG0100X
Allopathic & Osteopathic Physicians
- Hematology & Oncology Physician207RH0003X
Allopathic & Osteopathic Physicians
- Rheumatology Physician207RR0500X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Registry dates
- Enumerated
- 2009-09-14
- Last updated
- 2024-08-20
- Certified
- 2024-08-20
Frequently asked questions
- What is Beaver Medical Group P C's NPI number?
- Beaver Medical Group P C's National Provider Identifier (NPI) is 1649503319, 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 Family 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 2 West Fern Avenue, Redlands, CA 92373-5916.
- 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 (909) 793-3311.
- 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 (1649503319) is active in the NPPES registry as of the last update on 2024-08-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.