BEVERLY PEDIATRIC MEDICAL GROUP, INC.
NPI 1508963653
Pediatrics in Montebello, CA

Active since September 20, 2006
1417 W BEVERLY BLVD, SUITE 102, MONTEBELLO, CA 90640(323) 728-3270(323) 728-2141 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Beverly Pediatric Medical Group, Inc. NPPES

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

BEVERLY PEDIATRIC MEDICAL GROUP, INC. (NPI 1508963653) is a healthcare organization registered as a pediatrics in Montebello, California and active in the NPI registry since September 2006. The organization lists Hector Nahun De La Rocha, President/owner, as its authorized official.

NPPES Registry Identity

NPI1508963653
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBEVERLY PEDIATRIC MEDICAL GROUP, INC.
Location Address1417 W BEVERLY BLVD, SUITE 102Montebello, CA 90640-4123
Mailing Address1417 W Beverly Blvd, Suite 102Montebello, CA 90640-4146 · (323) 728-3270
Fax(323) 728-2141
Organization SubpartNo
Authorized OfficialHector Nahun De La RochaPresident/owner · (323) 728-3270
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 14, 2013
NPI 1508963653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in CA · G42466
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1417 W BEVERLY BLVD, Montebello, CA 90640

Other Identifiers 1

MedicaidGR0013040CA

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 SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

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

Pediatrics
1417 W BEVERLY BLVD, SUITE 102
MONTEBELLO, CA 90640
Podiatrist
1417 W BEVERLY BLVD, 104
MONTEBELLO, CA 90640
Pediatrics
1417 W BEVERLY BLVD, SUITE 102
MONTEBELLO, CA 90640
Internal Medicine
1417 W BEVERLY BLVD, SUITE 101
MONTEBELLO, CA 90640
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1417 W BEVERLY BLVD
MONTEBELLO, CA 90640
Pharmacy (Community/Retail Pharmacy)
1417 W BEVERLY BLVD
MONTEBELLO, CA 90640
Pharmacy (Community/Retail Pharmacy)
1417 W BEVERLY BLVD
MONTEBELLO, CA 90640
Podiatrist
1417 W BEVERLY BLVD, 104
MONTEBELLO, CA 90640

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 Beverly Pediatric Medical Group, Inc.'s NPI number?

The NPI number for Beverly Pediatric Medical Group, Inc. is 1508963653. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Beverly Pediatric Medical Group, Inc. located?

Beverly Pediatric Medical Group, Inc. is located at 1417 W Beverly Blvd Suite 102, Montebello, CA 90640. The listed phone number is (323) 728-3270.

What is Beverly Pediatric Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Beverly Pediatric Medical Group, Inc. was last updated on August 14, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.