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Beaver Medical Group Lp

Non-Pharmacy Dispensing Site in Colton, CA · enumerated 2008 · authorized official Kenny Heine, Vp of Operations.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1831377662

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Registry record

Entity type Organization (Type 2)
Legal business name Beaver Medical Group Lp
Other name <Unavail>
Parent organization Medvantx, Inc.
Practice address 1300 E Cooley Dr, Colton, CA, 92324
Phone (909) 270-4179
Enumeration date Feb 4, 2008
Last updated in NPPES Apr 25, 2013

Taxonomy & classification

332900000X Non-Pharmacy Dispensing Site Suppliers · License G58149 (CA) Primary

Authorized official

Name Kenny Heine
Title Vp of Operations
Phone (858) 625-2990

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Beaver Medical Group Lp located?
The practice location on file with NPPES is in Colton, CA.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2013-04-25. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-04-25.