BALDWIN PARK-EL MONTE MEDICAL GROUP
NPI 1124214341
General Practice in Baldwin Park, CA

Q: What is Herman Carrillo,m.D. & Marvin Urbina MD Proffesional Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 20, 2007CLIA 05D0866338 · Waiver

14342 RAMONA BLVD, BALDWIN PARK, CA 91706(626) 338-4088(626) 814-9068 Get Directions Write a Review

NPPES record last updated: September 20, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Baldwin Park-el Monte Medical Group NPPES

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

BALDWIN PARK-EL MONTE MEDICAL GROUP (NPI 1124214341) is a healthcare organization registered as a general practice in Baldwin Park, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Herman Carrillo, President, as its authorized official.

NPPES Registry Identity

NPI1124214341

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameHERMAN CARRILLO,M.D. & MARVIN URBINA MD PROFFESIONAL CORPORATION

Location Address14342 RAMONA BLVDBaldwin Park, CA 91706-3241

Mailing Address14342 Ramona BlvdBaldwin Park, CA 91706-3241 · (626) 338-4088 · Fax (626) 814-9068

Phone(626) 338-4088

Fax(626) 814-9068

Organization SubpartNo

Authorized OfficialHerman CarrilloPresident · (626) 338-4088

Enumeration DateSeptember 20, 2007

✔ NPI 1124214341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A45086

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

14342 RAMONA BLVD, Baldwin Park, CA 91706

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Other Names 1

Doing Business AsBaldwin Park-el Monte Medical Group

Other Identifiers 1

Medicare UPINY03100CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0866338

Baldwin Park-El Monte Medical Group · Baldwin Park, CA

Active · expires Apr 6, 2027

CLIA Number05D0866338

Laboratory TypePhysician Office

Certificate Effective DateApril 7, 2025

Certificate Expiration DateApril 6, 2027

Laboratory DirectorHerman F. Carrillo MD

Laboratory Phone(818) 338-4088

Laboratory LocationBaldwin Park-El Monte Medical Group14342 Romona Boulevard, Baldwin Park, CA 91706

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARVIN E URBINA MD

Family Medicine