Individual provider Active NPI

Edgardo Gabriel Binoya, M.D.

  • General Practice Physician
  • Bellflower, CA
National Provider Identifier
1508849795
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A30593 Issued in CA
Practice address
10230 Artesia Blvd
Ste. 300
Bellflower, CA 90706-6763
Phone
(562) 866-1500
Fax
(562) 866-4946
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X A30593 CA Primary

Addresses

Primary practice location

10230 Artesia Blvd
Ste. 300
Bellflower, CA 90706-6763

Mailing address

19127 Holmbury Ave
Cerritos, CA 90703-7246
Phone (562) 860-6193

Other identifiers 1

IdentifierTypeStateIssuer
00A305930MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A30593CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shyam Dahiya MD Inc Past Accepting new patients

Organizations & group practices 1

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": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1508849795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19127 HOLMBURY AVE",
            "city": "CERRITOS",
            "state": "CA",
            "postal_code": "907037246",
            "telephone_number": "562-860-6193",
            "fax_number": "562-866-4946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10230 ARTESIA BLVD",
            "address_2": "STE. 300",
            "city": "BELLFLOWER",
            "state": "CA",
            "postal_code": "907066763",
            "telephone_number": "562-866-1500",
            "fax_number": "562-866-4946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINOYA",
        "first_name": "EDGARDO",
        "middle_name": "GABRIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A30593",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A305930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellflower, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2016; 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.