Individual provider Active NPI

Caroline Marie Bebawy, MD

  • Pediatrics Physician
  • Chino Hills, CA
National Provider Identifier
1336878834
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A187976 Issued in CA
Practice address
15855 Pomona Rincon Rd BLDG 4
Chino Hills, CA 91709-5572
Phone
(909) 929-2512
Fax
(909) 304-2400
NPI assigned
Jun 9, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A187976 CA Primary

Addresses

Primary practice location

15855 Pomona Rincon Rd BLDG 4
Chino Hills, CA 91709-5572

Mailing address

15855 Pomona Rincon Rd
Chino Hills, CA 91709-5572
Phone (909) 929-2512

Other practice location 1

4650 Sunset Blvd.,
Mailstop#71
Los Angeles, CA 90027
Phone (323) 361-4937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251024004093 CA Practitioner - Pediatric Medicine 9638667116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Loma Linda University School of Medicine, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15455 San Fernando Mission Blvd
Suite 301
Mission Hills, CA 91345-1300

200 W Ctr St Promenade
Anaheim, CA 92805-3960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A187976CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation CurrentSince Oct 20, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Oct 20, 2025 Accepting new patients
Providence Medical Foundation Current Accepting new patients
Providence Medical Foundation Past Accepting new patients

Locations

19333 Bear Valley Rd
Ste 106
Apple Valley, CA 92308
Phone (760) 240-5505

15855 Pomona Rincon Rd
Bldg 4
Chino Hills, CA 91709
Phone (714) 626-8630

1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835

100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200

1165 Montgomery Dr
#1112
Santa Rosa, CA 95405
Phone (707) 546-3210

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1336878834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15855 POMONA RINCON RD",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095572",
            "telephone_number": "909-929-2512",
            "fax_number": "909-304-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15855 POMONA RINCON RD BLDG 4",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917095572",
            "telephone_number": "909-929-2512",
            "fax_number": "909-304-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4650 Sunset Blvd.,",
            "address_2": "Mailstop#71",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90027",
            "country_code": "US",
            "telephone_number": "323-361-4937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEBAWY",
        "first_name": "CAROLINE",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A187976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino Hills, CA

Sources for this page

Verify at the official NPI Registry.