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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Carlos Beharie, MD
Title
Owner
Phone
(323) 584-8700

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.

Locations

2542 E Florence Ave
Ste B
Walnut Park, CA 90255
Phone (323) 584-8700

Specialties & licenses 2

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

Addresses

NPPES NPI Registry

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

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
GR0095570OtherMEDI-CAL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2025.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "GR0095570",
            "state": null
        }
    ],
    "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.