Beverlycare
A Medicare group practice based in Montebello, CA: 4 NPIs enrolled under one PECOS associate control ID (PAC ID 9537416102), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 9537416102
- Provider type
- Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
- Enrolled in
- CA
- Enrollments
- 3
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 5
Enrollment records 3
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20180727002401 | CA | Part B Supplier - Clinic/Group Practice | 1841836301 |
| O20200615002307 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1760936884 |
| O20200519002291 | CA | Part A Provider - Federally Qualified Health Center (FQHC) | 1114562287 |
NPIs in this group 4
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Beverlycare
dba BeverlyCare Women's Health
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1114562287
-
Beverlycare
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1760936884
-
Beverlycare
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1841836301
-
Beverlycare
- Federally Qualified Health Center (FQHC)
- Montebello, CA
- NPI 1750106332
Practice locations
- Montebello, CA5
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (4).
-
Mosen Michael Defrawy, MD
- Internal Medicine Physician
- Montebello, CA
- NPI 1457409401
-
Stephen Y Lee, M.D.,FACOG
- Specialist
- Montebello, CA
- NPI 1891772026
-
Fenny Kuan Lin, NP-C
- Family Nurse Practitioner
- Montebello, CA
- NPI 1609237155
-
Saury Mamisay, NP
- Family Nurse Practitioner
- Long Beach, CA
- NPI 1427515998
-
Bolanle Abimbola Olajide, MD
- Pediatrics Physician
- Montebello, CA
- NPI 1376552141
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.