Individual provider Active NPI

Meg Conboy, MSN, FNP-BC

  • Family Medicine Physician
  • Malibu, CA
National Provider Identifier
1083364657
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NP95020356 Issued in CA
Practice address
23661 Pacific Coast Hwy
Malibu, CA 90265-4825
Phone
(424) 422-6215
Fax
(310) 456-5697
NPI assigned
Mar 26, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NP95020356 CA Primary

Addresses

Primary practice location

23661 Pacific Coast Hwy
Malibu, CA 90265-4825

Mailing address

23661 Pacific Coast Hwy
Malibu, CA 90265-4825
Phone (424) 422-6215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231107001019 CA Practitioner - Nurse Practitioner 9436506839 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
NP95020356CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Care Community Health Center, Inc CurrentSince Aug 26, 2023 Accepting new patients
Complete Care Community Health Center, Inc CurrentSince Aug 26, 2023 Accepting new patients
Complete Care Community Health Center, Inc Current Accepting new patients

Locations

3000 S Robertson Blvd
Ste 280
Los Angeles, CA 90034

2928 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 266-6700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648252800000",
    "number": "1083364657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654825",
            "telephone_number": "424-422-6215",
            "fax_number": "310-456-5697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23661 PACIFIC COAST HWY",
            "city": "MALIBU",
            "state": "CA",
            "postal_code": "902654825",
            "telephone_number": "424-422-6215",
            "fax_number": "310-456-5697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONBOY",
        "first_name": "MEG",
        "credential": "MSN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-26",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "NP95020356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malibu, CA

Sources for this page

Verify at the official NPI Registry.