FCS - Montebello

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

G52360 Issued in CA

Legal business name

FCS - MONTEBELLO

Practice address

815 Washington Blvd
Montebello, CA 90640-6123

Phone

(323) 728-3955

NPI assigned

Apr 29, 2008

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Mauricio Eduardo Bueno, MDNPI 1750332029

Title

Medical Director

Phone

(323) 791-0557

Specialties & licenses 1

Addresses

Tax ID family

Family Care Specialists Medical Corporation3 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 2

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

• FCS - Highland Park

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1437328325
  NPD tax ID
• FCS Medical Corporation

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1043631575
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mauricio Bueno, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1750332029
  NPD (past) Authorized official

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1972778025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR STE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705",
            "telephone_number": "323-317-9200"
        },
        {
            "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": "323-728-3955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FCS - MONTEBELLO",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2008-04-29",
        "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": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "323-791-0557",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "G52360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Families First Medical Group Inc.
• Family Care Specialists Medical Corporation
• Family Health Care Centers of Greater Los Angeles, Inc.
• Family Medical Clinics of California, Inc
• Imelda Baloy Fauni
• Christina Fernandez, M.A., CCC-SLP
• Roberta Fernandez, LMFT
• Lauren Elizabeth Ferrell
• Claudia Ferrer, PA
• First Choice Physician Partners

• Non-Pharmacy Dispensing Site in Montebello, CA
• Providers in Montebello, CA by specialty
• Non-Pharmacy Dispensing Site in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.