NPIMap

Organization Active NPI

Conservative Care Specialist Medical Group

  • Specialist
  • Van Nuys, CA
National Provider Identifier
1063828911
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G056728 Issued in CA
Legal business name
CONSERVATIVE CARE SPECIALIST MEDICAL GROUP
Practice address
6815 Noble Ave Ste 105
Van Nuys, CA 91405
Phone
(818) 781-6684
NPI assigned
Jul 10, 2014
Last updated
Jul 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CONSERVATIVE CARE SPECIALIST MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Tammy Mehrer
Title
Director
Phone
(818) 550-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G056728 CA Primary

Addresses

Primary practice location

6815 Noble Ave Ste 105
Van Nuys, CA 91405

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

National Provider Directory

National Provider Directory
Tax ID family
Conservative Care Specialist Medical Group4 organizations share this tax ID, including this one
Part of
Conservative Care Specialist Medical Group

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6815 Noble Ave
Ste 105
Van Nuys, CA 91405
Phone (818) 781-6684

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1063828911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "303-953-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE STE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-781-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSERVATIVE CARE SPECIALIST MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSERVATIVE CARE SPECIALIST MEDICAL GROUP",
        "enumeration_date": "2014-07-10",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "MEHRER",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "818-550-0900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G056728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.