NPIMap

Organization Active NPI

Family Care Specialists Medical Corporation

  • Family Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1982657029
Registry record updated Mar 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY CARE SPECIALISTS MEDICAL CORPORATION
Practice address
5823 York Blvd Ste 1
Los Angeles, CA 90042-2634
Phone
(323) 317-9200
Fax
(323) 255-8139
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2026

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

Authorized official

Name
Mauricio Eduardo Bueno
Title
Medical Group Director
Phone
(323) 791-0557

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5823 York Blvd Ste 1
Los Angeles, CA 90042-2634

Mailing address

5823 York Blvd Ste 3
Los Angeles, CA 90042-2634
Phone (323) 317-9200

Other identifiers 3

IdentifierTypeStateIssuer
GR0040673OtherCAMEDICAID GROUP ID
ZZZ27387ZOtherCABLUE SHIELD GROUP ID
CQ2165OtherGARAILROAD MEDICARE GROUP

Other names 1

  • FAMILY CARE SPECIALISTS MEDICAL CORPORATION Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0543960Family Care Specialists Medical Corporation5823 York Blvd Ste 1, Los Angeles, CA 90042Provider-performed microscopyAug 31, 2026

National Provider Directory

National Provider Directory

Locations

5823 York Blvd
Ste 3
Los Angeles, CA 90042
Phone (323) 255-5643

5823 York Blvd
Los Angeles, CA 90042
Phone (213) 255-3437

Practitioners & affiliated clinicians

Practitioners 10

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

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": "1982657029",
    "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": "5823 YORK BLVD STE 1",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900422634",
            "telephone_number": "323-317-9200",
            "fax_number": "323-255-8139"
        }
    ],
    "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": "MEDICAL GROUP DIRECTOR",
        "authorized_official_telephone_number": "323-791-0557"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP ID",
            "identifier": "GR0040673",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP ID",
            "identifier": "ZZZ27387Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CQ2165",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CARE SPECIALISTS MEDICAL CORPORATION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

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.

Verify at the official NPI Registry.