Beaver Medical Group P C
NPI 1275570830ActiveOrganization· Family Medicine· Redlands, CA
Family Medicine in Redlands, California, registered in NPPES in June 2006. The authorized official on file is Emily Castillo, Associate Director. Enrolled in Medicare as dme supplier - multi-specialty - physician.
Overview
| NPI | 1275570830 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 1, 2006 |
| Last updated in NPPES | Aug 20, 2024 |
| Certified by provider | Aug 20, 2024 |
| Reactivated | Nov 9, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Internal Medicine | 207R00000X | — | — |
| Pediatrics | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (CA) |
|---|
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