Active NPI
Family Care Specialists Medical Corporation
- Family Medicine Physician
- Montebello, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- FAMILY CARE SPECIALISTS MEDICAL CORPORATION
- Practice address
- 815 Washington Blvd
Montebello, CA 90640-6123 - Phone
- (323) 317-9200
- Fax
- (323) 728-6905
- NPI assigned
- May 18, 2006
- Last updated
- Mar 31, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mauricio Eduardo Bueno, MD
- Title
- Chief Medical Officer
- Phone
- (323) 791-0557
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
815 Washington Blvd
Montebello, CA 90640-6123
Mailing address
5823 York Blvd Ste 3
Los Angeles, CA 90042-2634
Phone (323) 317-9200
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CQ2165 | Other | GA | RAILROAD MEDICARE GROUP |
| W10759A | Other | CA | MEDICARE GROUP ID |
| GR0040672 | Other | CA | MEDICAID GROUP ID |
| ZZZ22101Z | Other | CA | BLUE SHIELD GROUP ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050111001140 | CA | Part B Supplier - Clinic/Group Practice | 6709834112 |
Receives reassigned benefits from 32 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Los Angeles, CA; Montebello, CA |
Other NPIs on the same Medicare enrollment 3
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1649223777
O20050111001140
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1942255195
O20050111001140
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1982657029
O20050111001140
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0552262 | Family Care Specialists Med GRP Inc | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
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.
-
- Family Medicine Physician
- Los Angeles, CA
- NPI 1750332029
-
- Physician Assistant
- Los Angeles, CA
- NPI 1619287869
-
- Physician Assistant
- Los Angeles, CA
- NPI 1285414367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1740233725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5823 YORK BLVD STE 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900422634",
"telephone_number": "323-317-9200",
"fax_number": "323-254-2158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WASHINGTON BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "906406123",
"telephone_number": "323-317-9200",
"fax_number": "323-728-6905"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CARE SPECIALISTS MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-18",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "BUENO",
"authorized_official_first_name": "MAURICIO",
"authorized_official_middle_name": "EDUARDO",
"authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
"authorized_official_telephone_number": "323-791-0557",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "CQ2165",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ID",
"identifier": "W10759A",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP ID",
"identifier": "GR0040672",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD GROUP ID",
"identifier": "ZZZ22101Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Montebello, CA
- Experience Acupuncture Professional Corporation
- Eye People Optometry, Inc.
- Eyecare Specialists Medical Group, Inc (Atlantis Eyecare)
- Eyecare Specialists Medical Group, Inc (Atlantis Surgery Center @ Montebello.)
- Families First Medical Group Inc.
- Family Health Care Centers of Greater Los Angeles, Inc. (Montebello Family Medical Center)
- Family Medical Clinics of California, Inc
- Imelda Baloy Fauni
- FCS - Montebello
- Christina Fernandez, M.A., CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.