Organization Active NPI

Bimlesh Garg MD, Inc

  • Adult Mental Health Clinic/Center
  • West Covina, CA
National Provider Identifier
1316115017
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
A41524 Issued in CA
Legal business name
BIMLESH GARG MD, INC
Practice address
1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921
Phone
(626) 962-8451
Fax
(626) 962-8408
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Authorized official

Name
Areli Barreras
Title
Manager
Phone
(323) 837-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X A41524 CA Primary

Addresses

Primary practice location

1135 S Sunset Ave Ste 401
West Covina, CA 91790-3921

Mailing address

1535 W Merced Ave
#300
West Covina, CA 91790-3404
Phone (626) 962-8451

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170309000673 CA Part B Supplier - Clinic/Group Practice 7012291172 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

2300 W Main St
Alhambra, CA 91801
Phone (626) 281-8441

11210 Lower Azusa Rd
El Monte, CA 91731
Phone (626) 442-6863

3111 Santa Anita Ave
El Monte, CA 91733
Phone (626) 443-0218

10786 Live Oak Ave
Temple City, CA 91780
Phone (626) 292-1241

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1316115017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 W MERCED AVE",
            "address_2": "#300",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903404",
            "telephone_number": "626-962-8451",
            "fax_number": "626-962-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 S SUNSET AVE STE 401",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917903921",
            "telephone_number": "626-962-8451",
            "fax_number": "626-962-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIMLESH GARG MD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "BARRERAS",
        "authorized_official_first_name": "ARELI",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "323-837-8413"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "CA",
            "license": "A41524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.