Beaver Medical Group PC
NPI 1205013323ActiveOrganization· Family Medicine· Yucaipa, CA
Family Medicine in Yucaipa, California, registered in NPPES in January 2008. The authorized official on file is Charles Chen, M.D., Chief Medical Officer.
Overview
| NPI | 1205013323 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 31, 2008 |
| Last updated in NPPES | Sep 30, 2022 |
| Certified by provider | Sep 30, 2022 |
| Reactivated | Nov 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Optometrist | 152W00000X | — | — |
| Dermatology | 207N00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Ophthalmology | 207W00000X | — | — |
| Orthopaedic Surgery | 207X00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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