Organization Active NPI

Carlos Beharie MD Medical Group Inc

  • Pediatrics Physician
  • Walnut Park, CA
National Provider Identifier
1528055795
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A31300 Issued in CA
Legal business name
CARLOS BEHARIE MD MEDICAL GROUP INC
Practice address
2542 E Florence Ave
#B
Walnut Park, CA 90255-4780
Phone
(323) 584-8700
Fax
(323) 584-5472
NPI assigned
Oct 4, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Carlos Beharie, MDNPI 1801094131
Title
Owner
Phone
(323) 584-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X G46446 CA
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A31300 CA Primary

Addresses

Primary practice location

2542 E Florence Ave
#B
Walnut Park, CA 90255-4780

Mailing address

10050 Garvey Ave
#111
El Monte, CA 91733-2088
Phone (626) 652-0790

National Provider Directory

National Provider Directory
Tax ID family
Carlos Beharie MD Medical Group Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1528055795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10050 GARVEY AVE",
            "address_2": "#111",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917332088",
            "telephone_number": "626-652-0790",
            "fax_number": "626-652-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 E FLORENCE AVE",
            "address_2": "#B",
            "city": "WALNUT PARK",
            "state": "CA",
            "postal_code": "902554780",
            "telephone_number": "323-584-8700",
            "fax_number": "323-584-5472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS BEHARIE MD MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BEHARIE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-584-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G46446",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A31300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.