BEVERLYCARE – NPI #1114867710
Clinic/Center

BEVERLYCARE is an AHC clinic located in MONTEBELLO, CA. NPPES recently assigned the NPI number 1114867710 to BEVERLYCARE on March 31, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEVERLYCARE below.

NPI Profile for
BEVERLYCARE

NPI Number
1114867710
Enumeration Date

(about 2 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEVERLYCARE
Primary location
520 W BEVERLY BLVD
MONTEBELLO, CA 90640-3622
Phone: (323) 920-0505 Fax: (888) 871-4071
Mailing address
433 N 4TH ST STE 205A
MONTEBELLO, CA 90640-4311
Phone: (323) 920-0505 Fax: (888) 871-4071
Organization Subpart
No
Authorized Official
ANGEL HSIAO
CEO
Phone: (323) 920-0505
Updated
Certification Date
Mar 31, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
261QC1500X
- Clinic/Center / Community Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.