NPIMap

Organization Active NPI

Beverlycare

  • Federally Qualified Health Center (FQHC)
  • Montebello, CA
National Provider Identifier
1114562287
Registry record updated Feb 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
BEVERLYCARE
Practice address
1920 W Whittier Blvd
Montebello, CA 90640-4009
Phone
(323) 725-1519
NPI assigned
Nov 13, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2026

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

Authorized official

Name
Angel Hsiao
Title
Ceo
Phone
(323) 920-0505

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

1920 W Whittier Blvd
Montebello, CA 90640-4009

Mailing address

1920 W Whittier Blvd
Montebello, CA 90640-4009
Phone (323) 726-1400

Other names 2

  • BeverlyCare Women's Health Doing business as
  • Beverly Care Women's Clinic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200519002291 CA Part A Provider - Federally Qualified Health Center (FQHC) 9537416102 Practice locations: Montebello, CA

Federally qualified health center certification: CCN 921886

Legal name
BEVERLYCARE
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 12, 2020
Last certification
May 12, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Sep 10, 2015 in CA
Enrollment address
1920 W Whittier Blvd
Montebello, CA 90640-4009

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1028342Beverlycare1920 W Whittier Blvd, Montebello, CA 90640Provider-performed microscopyJul 21, 2026

National Provider Directory

National Provider Directory
Tax ID family
Beverlycare4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IFBFAD

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Angel Hsiao Individual Corporate OfficerCeo Jul 1, 2024
W-2 Managing EmployeeCeo Jul 1, 2024
Other Jul 1, 2024

NPI Registry JSON

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770336000000",
    "number": "1114562287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404009",
            "telephone_number": "323-726-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W WHITTIER BLVD",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404009",
            "telephone_number": "323-725-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLYCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2026-02-06",
        "certification_date": "2026-02-06",
        "status": "A",
        "authorized_official_last_name": "HSIAO",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-920-0505"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BeverlyCare Women's Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beverly Care Women's Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Montebello, CA

Sources for this page

Verify at the official NPI Registry.