Beverly Care Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C2212 Issued in CA

Legal business name

BEVERLY CARE MEDICAL GROUP, INC

Practice address

101 E Beverly Blvd Ste 303
Montebello, CA 90640-4316

Phone

(323) 837-5147

NPI assigned

Sep 26, 2017

Organization subpart

No

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

Authorized official

Name

Kenneth L Cohen

Title

Ceo

Phone

(323) 837-5147

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1506384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1124537733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 303",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-837-5147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E BEVERLY BLVD STE 303",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906404316",
            "telephone_number": "323-837-5147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "323-837-5147"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C2212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Anthony Bermudez Barron, PHARM.D.
• Janeece A Berry, RNP
• Bertha a Gonzalez DO, Inc
• Delia Betancourt Manale, COTA
• Beverly Ambulatory Med-Surg Center, PC
• Beverly Community Hospital Association
• Beverly Hospital
• Beverly Hospitalist Group Incorporated
• Beverly Internal Medicine Medical Group Inc.
• Beverly Oncology & Imaging Center Medical GR

• Internal Medicine Physician in Montebello, CA
• Providers in Montebello, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.