Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

NPI 1952305294

Individual provider · NPI 1952305294 Deactivated

This NPI was deactivated on September 17, 2026. The record is kept for reference and should not be used for billing or referrals.

NPI 1952305294 practises Cardiac Surgery. Graduated from Loma Linda University School of Medicine in 1980, 46 years ago. Practices with Beaver Medical Group P C, a 255-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
46
Trained at
Loma Linda University School of Medicine

Practice location Incomplete address

The federal record is missing the street or ZIP for this provider.

Additional practice locations (1)

  • 6109 W Ramsey St, Banning, CA 92220-3051 — (951) 845-0313

Specialties & licences

Record details

NPI number1952305294
Entity typeIndividual (Type 1)
NPI enumerated—
Last updated in NPPES—

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC SURGERY
Also practisesINTERNAL MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1980 (46 years in practice)
Group practice Beaver Medical Group P C — 255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients324
Services billed 611 a service is one billed item, such as a visit, a test or a procedure
Average patient age78

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Food and Beverage $25 1 payment · a meal or drink at a meeting or visit, not a fee

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Colleagues at Beaver Medical Group P C

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 255 clinicians in the practice; 12 are shown here.