HOME CARE MD MEDICAL GROUP
NPI 1023644556
Nurse Practitioner - Primary Care in West Covina, CA

Active since March 16, 2020
100 N BARRANCA ST # 900-J, WEST COVINA, CA 91791(626) 377-7608(626) 206-0553 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 14, 2021, Mar 16, 2020 (2 updates tracked since 2020).

About Home Care Md Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOME CARE MD MEDICAL GROUP (NPI 1023644556) is a healthcare organization registered as a primary care in West Covina, California and active in the NPI registry since March 2020. The organization maintains a secondary practice location in Torrance and lists Shylee Bautista Tiamson, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1023644556
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHOME CARE MD MEDICAL GROUP
Location Address100 N BARRANCA ST # 900-JWest Covina, CA 91791-1637
Mailing Address100 N Barranca St # 900-jWest Covina, CA 91791-1637 · (626) 377-7608 · Fax (626) 206-0553
Fax(626) 206-0553
Organization SubpartNo
Authorized OfficialShylee Bautista TiamsonNurse Practitioner · (310) 292-0117
Enumeration DateMarch 16, 2020
Last NPPES UpdateJune 14, 20212 updates tracked since enumeration
NPPES CertifiedJune 14, 2021
NPI 1023644556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
100 N BARRANCA ST # 900-J, West Covina, CA 91791

Other Names 1

Doing Business AsHome Care Md Medical Group

Secondary Practice Location 1

Location 12785 Pacific Coast Hwy Ste E241Torrance, CA 90505-7066 · Phone (626) 377-7608

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Home Care MD Medical Group's NPI number?

The NPI number for Home Care MD Medical Group is 1023644556. It was assigned to this organization in the NPPES registry on March 16, 2020.

Where is Home Care MD Medical Group located?

Home Care MD Medical Group is located at 100 N Barranca St # 900-J, West Covina, CA 91791. The listed phone number is (626) 377-7608.

What is Home Care MD Medical Group's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Home Care MD Medical Group was last updated on June 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.