Beaver Medical Group, Lp is a health care provider (organization) practicing in Colton, California. The National Provider Identifier (NPI) is #1144265919, which was assigned on June 17, 2006, and the registration record was last updated on August 22, 2020. The practitioner's main practice location is at 1300 E Cooley Dr, Colton, CA 92324-3905; the contact telephone number is 9093704100, and the fax number is 9097964158. The authorized official for Beaver Medical Group, Lp is Dr. Dennis P Flynn (Vice President of Medical Affairs).
| NPI | 1144265919 |
| Entity Type | Organization |
| Organization Name | BEAVER MEDICAL GROUP, LP |
| Provider Name | BEAVER MEDICAL GROUP, LP |
| Practice Address | 1300 E Cooley Dr Colton CA 92324-3905 |
| Practice Telephone | 9093704100 |
| Practice Fax Number | 9097964158 |
| Mailing Address | Po Box 2200 Redlands CA 92373-0722 |
| Mailing Telephone | 9097933311 |
| Mailing Fax Number | 9097964158 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2020-08-22 |
| NPI Deactivation Date | 2009-09-10 |
| NPI Reactivation Date | 2012-11-09 |
| Is Organization Subpart | N |
| Official Name | DR. DENNIS P FLYNN |
| Official Title | VICE PRESIDENT OF MEDICAL AFFAIRS |
| Credential | M.D. |
| Telephone | 9097991818 |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| X | 152W00000X | Optometrist | 193200000X MULTI-SPECIALTY GROUP | |||
| X | 207Q00000X | Family Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| X | 207R00000X | Internal Medicine | 193200000X MULTI-SPECIALTY GROUP | |||
| X | 208000000X | Pediatrics | 193200000X MULTI-SPECIALTY GROUP |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Beaver Medical Group, Lp | 7223 Church St, Ste C, Highland, CA 92346-5869 | Family Medicine Physician | 2006-06-29 |
| Beaver Medical Group, Lp | 2 W Fern Ave, Redlands, CA 92373-5916 | Optometrist | 2006-06-14 |
| Beaver Medical Group, Lp | 259 Terracina Blvd, Redlands, CA 92373-4847 | Orthopaedic Surgery Physician | 2006-06-02 |
| Beaver Medical Group, Lp | 7000 Boulder Ave, Highland, CA 92346-3348 | Dermatology Physician | 2006-06-10 |
| Beaver Medical Group, Lp · Beaver Advantage Health Center | 1600 E Citrus Ave, Suite # A, Redlands, CA 92374-4270 | Family Medicine Physician | 2006-06-01 |
| Beaver Medical Group, Lp | 5957 W Ramsey St, Banning, CA 92220-3058 | Family Medicine Physician | 2006-07-21 |
| Beaver Medical Group, Lp | 6109 W Ramsey St, Banning, CA 92220-3051 | Optometrist | 2006-06-02 |
| Code | 152W00000X |
| Taxonomy | Optometrist |
| Classification | Optometrist |
| Grouping | Eye and Vision Services Providers |
| Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA's Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| Classification | Family Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| Classification | Internal Medicine |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| Classification | Pediatrics |
| Grouping | Allopathic & Osteopathic Physicians |
| Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| Street Address | 1300 E COOLEY DR |
| City | COLTON |
| State | CA |
| Zip Code | 92324-3905 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Alkevin Gacuya | 1300 E Cooley Dr, Colton, CA 92324-3905 | Family Nurse Practitioner | 2023-03-10 |
| Nicole Michelle Antonio · Nicole Michelle Oyas | 1300 E Cooley Dr, Colton, CA 92324-3905 | Pediatrics Physician | 2007-05-21 |
| Carlos Daniel Ramirez | 1300 E Cooley Dr, Colton, CA 92324-3905 | General Practice Physician | 2009-04-01 |
| Sarah Rose Contreras | 1300 E Cooley Dr, Colton, CA 92324-3905 | Licensed Vocational Nurse | 2010-12-01 |
| Amandip Birdi | 1300 E Cooley Dr, Colton, CA 92324-3905 | Student in an Organized Health Care Education/Training Program | 2016-04-14 |
| Suchal Karkera | 1300 E Cooley Dr, Colton, CA 92324-3905 | Family Medicine Physician | 2016-04-19 |
| Glen R. Gaerte | 1300 E Cooley Dr, Colton, CA 92324-3905 | Optometrist | 2006-06-05 |
| Ryan Bradley Estacio Ortizo | 1300 E Cooley Dr, Colton, CA 92324-3905 | Family Medicine Physician | 2019-03-17 |
| Robert K. Yamada | 1300 E Cooley Dr, Colton, CA 92324-3905 | Family Medicine Physician | 2006-06-06 |
| Robert Cm Bourne | 1300 E Cooley Dr, Colton, CA 92324-3905 | Family Medicine Physician | 2006-06-28 |
| Find all providers in the same location | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Prescilla Keeney | 1330 E Cooley Dr, Colton, CA 92324-3905 | Psychiatric/Mental Health Registered Nurse | 2021-09-08 |
| Adan Ambrossi | 1330 E Cooley Dr, Colton, CA 92324-3905 | Community Health Worker | 2023-09-27 |
| Winston James Williams | 1330 E Cooley Dr, Colton, CA 92324-3905 | Social Worker | 2020-04-22 |
| County of San Bernardino · Supervised Treatment After Release (Star) Program Ads | 1330 E. Cooley Dr., Colton, CA 92324-3905 | Substance Use Disorder Rehabilitation Clinic/Center | 2007-06-25 |
| Mack William Tolle | 1330 E Cooley Dr, Colton, CA 92324-3905 | Addiction (Substance Use Disorder) Counselor | 2017-06-21 |
| Daniel Jason Roe | 1330 E Cooley Dr, Colton, CA 92324-3905 | Psychiatric/Mental Health Registered Nurse | 2021-09-07 |
| Josephine Quintero | 1330 E Cooley Dr., Colton, CA 92324-3905 | Marriage & Family Therapist | 2024-02-14 |
| Marissa M Hulbert | 1330 E Cooley Dr, Colton, CA 92324-3905 | Marriage & Family Therapist | 2022-01-06 |
| Chelsea Pullen | 1330 E Cooley Dr, Colton, CA 92324-3905 | Community Health Worker | 2023-05-08 |
| Kendrick Wayne Logan | 1330 E Cooley Dr, Colton, CA 92324-3905 | Case Manager/Care Coordinator | 2023-09-28 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Steven Andrew Cardoza | Armc, 400 N. Pepper Ave, Colton, CA 92324 | Physician Assistant | 2019-05-28 |
| Yongmin Kim | 1040 S Mount Vernon Ave, E, Colton, CA 92324 | Pharmacist | 2019-05-29 |
| Uriel Angel Gonzalez | Mental Health Outpatient Clinic 1461 E. Cooley Ste 100, Colton, CA 92324 | Marriage & Family Therapist | 2020-04-07 |
| Allstar Medical Respite and Recuperative Care | 450 N Sperry Drive, Colton, CA 92324 | Lodging Provider | 2019-12-06 |
| Garfield Beach Cvs LLC | 1010 North Pepper Ave, Colton, CA 92324 | Oxygen Equipment & Supplies (DME) | 2019-08-08 |
| Alexander Mccoy Hammonds | 400 N Pepper Ave., Mob 205, Colton, CA 92324 | Physician Assistant | 2022-08-01 |
| Kadi Lyn Pearce | 970 N. Latham St, Colton, CA 92324 | Licensed Practical Nurse | 2019-07-25 |
| Maame Sarpong | 400 N. Pepper Ave, Colton, CA 92324 | Adult Psychiatric/Mental Health Registered Nurse | 2020-10-28 |
| A. Arroyo Lourenco Dds, Inc | 827 W Valley Blvd., Colton, CA 92324 | General Practice Dentistry | 2018-06-12 |
| Jumart Anesthesia, Inc | 900 E Washington St, Suite 155, Colton, CA 92324 | Certified Registered Nurse Anesthetist | 2021-11-02 |
| Find all providers in the same zip code | |||
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Beaver Dam Community Hospitals Inc · (Inactive) Marshfield Medical Center - Beaver Dam Specialty Clinic | 705 S University Ave Ste 360, Beaver Dam, WI 53916-3080 | Clinic/Center | 2010-05-11 |
| Beaver Dam Community Hospitals Inc · Marshfield Medical Center - Beaver Dam Eye Clinic (Dme) | 240 Corporate Dr, Beaver Dam, WI 53916-3115 | Optician | 2022-03-09 |
| Beaver Dam Community Hospitals Inc · (Inactive) Marshfield Medical Center - Beaver Dam Wound Clinic | 707 S University Ave, Beaver Dam, WI 53916-3027 | Internal Medicine Physician | 2018-01-10 |
| Beaver Dam Community Hospitals Inc · (Inactive) Marshfield Medical Center - Beaver Dam Surgical Specialists | 705 S University Ave Ste 350, Beaver Dam, WI 53916 | Surgery Physician | 2015-02-12 |
| Beaver Dam Community Hospitals Inc · (Inactive) Marshfield Medical Center - Beaver Dam Family Practice | 130 Warren St Ste 132, Beaver Dam, WI 53916 | Family Medicine Physician | 2010-02-09 |
| Beaver Dam Community Hospitals Inc · (Inactive) Marshfield Medical Center - Beaver Dam Juneau Center | 420 W North St, Juneau, WI 53039 | Family Medicine Physician | 2010-06-16 |
| Beaver Dam Community Hospitals Inc · Marshfield Medical Center - Beaver Dam Hospital Instymeds | 707 S University Ave, Beaver Dam, WI 53916-3027 | Non-Pharmacy Dispensing Site | 2008-09-11 |
| Beaver Dam Community Hospitals Inc · Marshfield Medical Center - Beaver Dam Pharmacy (Part B Immunization) | 705 S University Ave, Ste 180, Beaver Dam, WI 53916-3001 | Pharmacy | 2015-09-17 |
| Beaver Dam Community Hospitals Inc · Marshfield Medical Center - Beaver Dam Professional Services | 707 S University Ave, Beaver Dam, WI 53916-3027 | Optician | 2021-03-15 |
| Beaver Medical Group Lp · Beaver Medical Group - Highland Extended Care | 7000 Boulder Ave, Highland, CA 92346-3348 | Non-Pharmacy Dispensing Site | 2008-04-29 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).
All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).
Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.
This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.