Active NPI
Mayflower Medical Group, Inc.
- Internal Medicine Physician
- West Covina, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MAYFLOWER MEDICAL GROUP, INC.
- Practice address
- 140 N Orange Ave.
Suite 100
West Covina, CA 91790-2032 - Phone
- (626) 800-1200
- Fax
- (626) 962-2471
- NPI assigned
- Feb 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erica Carbajal
- Title
- Site Manager
- Phone
- (626) 800-1200
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary | ||
| Pediatrics Physician | 208000000X |
Addresses
Primary practice location
140 N Orange Ave.
Suite 100
West Covina, CA 91790-2032
Mailing address
140 N Orange Ave Ste 100
West Covina, CA 91790-2032
Phone (626) 800-1200
Other practice location 1
1900 E La Palma Ave Ste A&b
Anaheim, CA 92805-1647
Phone (714) 888-5742
Other practice location 2
11436 Garvey Ave Ste A&b
El Monte, CA 91732-3304
Phone (626) 459-5420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6409040 | Medicaid | CA |
Other names 1
- Mayflower Medical Group, Inc.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2041490 | Mayflower Medical Group Inc | Certificate of waiver | May 22, 2028 |
| 05D2088161 | Mayflower Medical Group Inc | Certificate of waiver | Dec 10, 2026 |
| 05D2137082 | Mayflower Medical Group, Inc | Certificate of waiver | Sep 19, 2027 |
| 05D2220550 | Mayflower Medical Group, Inc. | Certificate of waiver | Apr 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
1900 E La Palma Ave
Ste B
Anaheim, CA 92805
Phone (626) 800-1200
1900 E La Palma Ave
Ste A
Anaheim, CA 92805
1433 N Hollenbeck Ave
Covina, CA 91722
Phone (626) 214-1260
11436 Garvey Ave
Ste B
El Monte, CA 91732
11436 Garvey Ave
Ste Ab
El Monte, CA 91732
Phone (626) 459-5420
1840 N Hacienda Blvd
La Puente, CA 91744
140 N Orange Ave
Ste 10010
West Covina, CA 91790
140 N Orange Ave
Ste 101
West Covina, CA 91790
140 N Orange Ave
Ste 104
West Covina, CA 91790
Phone (626) 800-1200
Practitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Physician
- La Puente, CA
- NPI 1861429631
-
- Family Medicine Physician
- Fountain Valley, CA
- NPI 1366571309
-
- Nurse Practitioner
- Glendora, CA
- NPI 1417370065
-
- Internal Medicine Physician
- West Covina, CA
- NPI 1952489858
-
- Internal Medicine Physician
- Covina, CA
- NPI 1578097549
-
- Internal Medicine Physician
- Covina, CA
- NPI 1750490702
-
- Family Medicine Physician
- West Covina, CA
- NPI 1073561346
-
- Specialist
- West Hollywood, CA
- NPI 1659437358
-
- Family Medicine Physician
- Covina, CA
- NPI 1356492888
-
- Internal Medicine Physician
- San Gabriel, CA
- NPI 1962572909
-
- Family Nurse Practitioner
- San Bernardino, CA
- NPI 1386119725
-
- Pediatric Nurse Practitioner
- La Mirada, CA
- NPI 1235434119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776902400000",
"number": "1003188160",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 N ORANGE AVE STE 100",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902032",
"telephone_number": "626-800-1200",
"fax_number": "626-962-2471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 N ORANGE AVE.",
"address_2": "SUITE 100",
"city": "WEST COVINA",
"state": "CA",
"postal_code": "917902032",
"telephone_number": "626-800-1200",
"fax_number": "626-962-2471"
}
],
"practiceLocations": [
{
"address_1": "1900 E La Palma Ave Ste A&b",
"address_purpose": "LOCATION",
"city": "Anaheim",
"state": "CA",
"postal_code": "928051647",
"country_code": "US",
"telephone_number": "714-888-5742",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11436 Garvey Ave Ste A&b",
"address_purpose": "LOCATION",
"city": "El Monte",
"state": "CA",
"postal_code": "917323304",
"country_code": "US",
"telephone_number": "626-459-5420",
"fax_number": "626-444-4511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAYFLOWER MEDICAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-02-06",
"last_updated": "2026-04-23",
"certification_date": "2026-04-23",
"status": "A",
"authorized_official_last_name": "CARBAJAL",
"authorized_official_first_name": "ERICA",
"authorized_official_title_or_position": "SITE MANAGER",
"authorized_official_telephone_number": "626-800-1200"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6409040",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mayflower Medical Group, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.