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 1881857597

Beaver Medical Group LP is a Non-Pharmacy Dispensing Site in Banning, 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

6109 W Ramsey St
Banning, CA 92220-3051
Phone: (951) 845-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Non-Pharmacy Dispensing Site (primary) Taxonomy 332900000X · Licence C51632 (CA)

Record details

NPI number1881857597
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationMedvantx Inc
Authorized official Kenny Heine — Vp Of Operations · (858) 625-2990
Other names Beaver Medical Group - Banning Extended Care
NPI enumeratedJuly 3, 2008
Last updated in NPPESApril 25, 2013
Mailing address5626 Oberlin Dr, Suite 110, San Diego, CA 92121-1705

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