John Lee is a internal medicine enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is BEAVER MEDICAL GROUP PC. The business address is 2 W Fern Ave, Redlands, CA 92373-5916. Published on March 11, 2014.
| NPI | 1477870186 Nation Provider Identifier (NPI) National Plan and Provider Enumeration System (NPPES) |
| PAC ID | 8729218862 PECOS Associate Control (PAC) ID Medicare Provider Enrollment and Chain/Ownership System (PECOS) |
| Professional Enrollment ID | I20140311000702 |
| Full Name | JOHN LEE |
| Gender | M |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Organization Legal Name | BEAVER MEDICAL GROUP PC |
| Group Practice PAC ID | 0547164295 |
| Number of Group Practice Members | 256 |
| Address | 2 W Fern Ave Redlands CA 92373-5916 |
| Telephone | 9097933311 |
| Professional Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| Group Accepts Medicare Assignment | Y - Accepts Medicare approved amount as payment in full |
| NPI | 1477870186 Nation Provider Identifier (NPI) National Plan and Provider Enumeration System (NPPES) |
| Provider Name | JOHN LEE |
| Address | 2 W Fern Ave Redlands CA 92373 |
| Taxonomy Code | 207R00000X |
| Enumeration Date | 2010-04-21 |
| Organization Legal Name | BEAVER MEDICAL GROUP PC |
| Address | 2 W Fern Ave Redlands CA 92373-5916 |
| Telephone | 9097933311 |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Gordan D Phillips | Preventative Medicine | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Jin Hee Kim | Internal Medicine | Beaver Medical Group PC | 839 N Highland Springs Ave, Beaumont, CA 92223-3170 |
| Kerry Rold | Diagnostic Radiology | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Edmund Ko | Urology | Beaver Medical Group PC | 6109 W Ramsey St, Banning, CA 92220-3051 |
| Kelvin Ma | Family Medicine | Beaver Medical Group PC | 1300 E Cooley Dr, Colton, CA 92324-3905 |
| Kevin Jan Chan | Hospitalist | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Hung Nguyen | Family Medicine | Beaver Medical Group PC | 7223 Church St C, Highland, CA 92346-5816 |
| Chad J Brockardt | Orthopedic Surgery | Beaver Medical Group PC | 7000 Boulder Ave, Highland, CA 92346-3348 |
| Charles Chen | Internal Medicine | Beaver Medical Group PC | 33758 Yucaipa Blvd, Yucaipa, CA 92399-2243 |
| Zakia Raana | Family Medicine | Beaver Medical Group PC | 5957 W Ramsey St, Banning, CA 92220-3058 |
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| Veena Vishwanath Arun | Ophthalmology | Sharp Rees-Stealy Medical Group Inc | 8701 Cuyamaca St, Santee, CA 92071-4253 |
| Linus Klingler | Optometry | University of Miami | 1325 Nw 14th St, Umhc Uhealth Tower, Miami, FL 33125-1647 |
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| Street Address | 2 W FERN AVE |
| City | REDLANDS |
| State | CA |
| Zip Code | 92373-5916 |
| Doctor Name | Primary Specialty | Organization Legal Name | Address |
|---|---|---|---|
| Richard J Hall | Anesthesiology | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Kristen Nicole Chaves | Nurse Practitioner | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Allen Alexander Duran | Nurse Practitioner | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Thomas A Steinmann | Optometry | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Michael J Coen | Orthopedic Surgery | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Shantharam Pai | Family Medicine | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Orlando Ricci | Anesthesiology | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Lui Kong Yap | Physician Assistant | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Cathryn Marie O Neill | Family Medicine | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
| Christina D Bennett-Stewart | Obstetrics/Gynecology | Beaver Medical Group PC | 2 W Fern Ave, Redlands, CA 92373-5916 |
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| Roger Wenger | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Monica Tone | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Jo Everett | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Donald Louis Mellor Jr. | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| Richelin Veluz Dye | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| William H Mcghee | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| William Murdoch | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
| William G Britt IIi | Psychologist, Clinical | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
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| Claudia R Carmona | Psychiatry | Faculty Physicians and Surgeons of Llusm | 1686 Barton Rd, Redlands, CA 92373-1488 |
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This dataset includes 1.5 million individual physicians, and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | United States |