SAN JOSE MUILTISPECIALTY MEDICAL GROUP,INC
NPI 1962560896
Family Medicine in Baldwin Park, CA

Active since December 04, 2006
14514 RAMONA BLVD, SUITE 3, BALDWIN PARK, CA 91706(626) 337-0424(626) 813-9095 Get Directions Write a Review

NPPES record last updated: January 9, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About San Jose Muiltispecialty Medical Group,inc NPPES

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

SAN JOSE MUILTISPECIALTY MEDICAL GROUP,INC (NPI 1962560896) is a healthcare organization registered as a family medicine in Baldwin Park, California and active in the NPI registry since December 2006. The organization lists Jose Dalio Berganza, President, as its authorized official.

NPPES Registry Identity

NPI1962560896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOSE D BERGANZA, M.D INC
Location Address14514 RAMONA BLVD, SUITE 3Baldwin Park, CA 91706-3305
Mailing Address14514 Ramona Blvd, Suite 3Baldwin Park, CA 91706-3305 · (626) 337-0424 · Fax (626) 813-9095
Fax(626) 813-9095
Organization SubpartNo
Authorized OfficialJose Dalio BerganzaPresident · (626) 337-0424
Enumeration DateDecember 4, 2006
Last NPPES UpdateJanuary 9, 2008
✔ NPI 1962560896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A055611
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License A37324 (CA), 524415 (CA), 557547 (CA)
Also ListedPediatricsTaxonomy 208000000X · License A45608 (CA), PA12379 (CA)
14514 RAMONA BLVD, Baldwin Park, CA 91706

Other Names 1

Doing Business AsSan Jose Muiltispecialty Medical Group,inc

Other Identifiers 2

MedicaidGR0080790CA
Medicare PINW19570CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

San Jose Muiltispecialty Medical Group,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to San Jose Muiltispecialty Medical Group,inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Pediatric Medicine
NPI 1003997032
14514 RAMONA BLVD SUITE 3
Baldwin Park, CA 91706
(626) 337-0424
✔ PECOSSame address
General Practice
NPI 1255354171
941 S ATLANTIC BLVD SUITE 101
Monterey Park, CA 91754
(626) 458-8401
✔ PECOS11 mi
General Practice
NPI 1689741241
2955 E FLORENCE AVE
Huntington Park, CA 90255
(323) 585-0732
✔ PECOS17 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Jose D Berganza, M.D Inc's NPI number?

The NPI number for Jose D Berganza, M.D Inc is 1962560896. It was assigned to this organization in the NPPES registry on December 4, 2006. The provider is doing business as San Jose Muiltispecialty Medical Group,inc.

Where is Jose D Berganza, M.D Inc located?

Jose D Berganza, M.D Inc is located at 14514 Ramona Blvd Suite 3, Baldwin Park, CA 91706. The listed phone number is (626) 337-0424.

What is Jose D Berganza, M.D Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jose D Berganza, M.D Inc enrolled in Medicare?

Yes. Jose D Berganza, M.D Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jose D Berganza, M.D Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Jose D Berganza, M.D Inc, in General Practice and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jose D Berganza, M.D Inc was last updated on January 9, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.