Active NPI
Bhava Narayanan, M.D. a Professional Medical Corporation
- Pediatrics Physician
- Montebello, CA
National Provider Identifier
1174610380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A68048
- Legal business name
- BHAVA NARAYANAN, M.D. A PROFESSIONAL MEDICAL CORPORATION
- Practice address
- 101 E Beverly Blvd
Suite 306
Montebello, CA 90640-4300 - Phone
- (323) 888-8646
- Fax
- (323) 888-1553
- NPI assigned
- Oct 7, 2006
- 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
- Dr. Bhavadharini Narayanan, M.D.
- Title
- President
- Phone
- (323) 888-8646
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A68048 | CA | Primary |
Addresses
Primary practice location
101 E Beverly Blvd
Suite 306
Montebello, CA 90640-4300
Mailing address
641 S Santa Anita Ave
San Marino, CA 91108-1419
Phone (323) 888-8646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A680480 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
101 E Beverly Blvd
Ste 306
Montebello, CA 90640
Phone (323) 888-2323
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Montebello, CA
- NPI 1255376968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160179200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1348444800000",
"number": "1174610380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "641 S SANTA ANITA AVE",
"city": "SAN MARINO",
"state": "CA",
"postal_code": "911081419",
"telephone_number": "323-888-8646",
"fax_number": "323-888-1553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E BEVERLY BLVD",
"address_2": "SUITE 306",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906404300",
"telephone_number": "323-888-8646",
"fax_number": "323-888-1553"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BHAVA NARAYANAN, M.D. A PROFESSIONAL MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-07",
"last_updated": "2012-09-24",
"status": "A",
"authorized_official_last_name": "NARAYANAN",
"authorized_official_first_name": "BHAVADHARINI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "323-888-8646",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "A68048",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A680480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.