NPIMap

Organization Active NPI

Carlos Beharie M.D. Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Baldwin Park, CA
National Provider Identifier
1013212349
Registry record updated Jan 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G46446 Issued in CA
Legal business name
CARLOS BEHARIE M.D. MEDICAL GROUP, INC.
Practice address
4126 N. Main Ave
Baldwin Park, CA 91706-3306
Phone
(626) 652-0790
Fax
(626) 652-0799
NPI assigned
Jan 18, 2011
Last updated
Jan 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Jamie L. Bojorquez
Title
Office Manager
Phone
(626) 652-0790

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X G46446 CA Primary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A31300 CA

Addresses

Primary practice location

4126 N. Main Ave
Baldwin Park, CA 91706-3306

Mailing address

4126 N. Main Ave
Baldwin Park, CA 91706-3306
Phone (626) 652-0790

National Provider Directory

National Provider Directory
Tax ID family
Carlos Beharie MD Medical Group Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295308800000",
    "number": "1013212349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N. MAIN AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063306",
            "telephone_number": "626-652-0790",
            "fax_number": "626-652-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N. MAIN AVE",
            "city": "BALDWIN PARK",
            "state": "CA",
            "postal_code": "917063306",
            "telephone_number": "626-652-0790",
            "fax_number": "626-652-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS BEHARIE M.D. MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2011-01-18",
        "status": "A",
        "authorized_official_last_name": "BOJORQUEZ",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "626-652-0790",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G46446",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.