Beverly Garden Medical Group, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

00170368 Issued in CA

Legal business name

BEVERLY GARDEN MEDICAL GROUP, INC.

Practice address

7916 Eastern Ave Ste 102
Bell Gardens, CA 90201-5464

Phone

(562) 928-7060

Fax

(562) 928-7090

NPI assigned

Feb 13, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Fred Sahafi, M.D

Title

Medical Director/ Owner

Phone

(562) 928-7060

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1392249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416355200000",
    "number": "1225452048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE STE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015464",
            "telephone_number": "562-928-7060",
            "fax_number": "562-928-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7916 EASTERN AVE STE 102",
            "city": "BELL GARDENS",
            "state": "CA",
            "postal_code": "902015464",
            "telephone_number": "562-928-7060",
            "fax_number": "562-928-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY GARDEN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-13",
        "last_updated": "2014-11-19",
        "status": "A",
        "authorized_official_last_name": "SAHAFI",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "562-928-7060",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "00170368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOINT COMMISSION",
            "identifier": "557672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Teresa Irma Bertao, FNP
• Bock J. Kim, DDS, Inc. (Grace Dentistry)
• Katherine Rachel Brouwer
• Ginille Jasmin Lazaro Brown, NP
• Rory L. Butler, PA
• Francisco Cacho

• Ambulatory Surgical Clinic/Center in Bell Gardens, CA
• Providers in Bell Gardens, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2014; 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.