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

Beaver Medical Group P C

Organization Optometrist · NPI 1619914959

Beaver Medical Group P C is an Optometrist in Banning, California. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
12

Practice location Address checks out

6109 W Ramsey St
Banning, CA 92220-3051
Phone: (951) 845-0313
Fax: (909) 796-4158
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Optometrist Taxonomy 152W00000X
Emergency Medicine Physician Taxonomy 207P00000X
Family Medicine Physician Taxonomy 207Q00000X
Cardiovascular Disease Physician Taxonomy 207RC0000X
Pulmonary Disease Physician Taxonomy 207RP1001X
Medical Oncology Physician Taxonomy 207RX0202X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Ophthalmology Physician Taxonomy 207W00000X
Pediatrics Physician Taxonomy 208000000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X

Record details

NPI number1619914959
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emily Castillo — Associate Director · (702) 480-2550
Other names Optum Banner Specialty Care
NPI enumeratedJune 2, 2006
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing addressPo Box 35380, Las Vegas, NV 89133-5380

Other providers in Banning