Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaver Medical Group LP

Organization Non-Pharmacy Dispensing Site · NPI 1639344716

Beaver Medical Group LP is a Non-Pharmacy Dispensing Site in Highland, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
What do these letters mean?
LP — Limited partnership
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7000 Boulder Ave
Highland, CA 92346-3348
Phone: (909) 862-1191
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence A69210 (CA)

Record details

NPI number1639344716
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx, Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Beaver Medical Group - Highland Extended Care
NPI enumeratedApril 29, 2008
Last updated in NPPESJune 9, 2016
Mailing address9276 Scranton Rd, Suite 100, San Diego, CA 92121-7701