NPIMap

Organization Active NPI

Conservative Care Specialists Medical Group Inc.

  • Non-Pharmacy Dispensing Site
  • Van Nuys, CA
National Provider Identifier
1134497985
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC.
Practice address
6815 Noble Ave
Suite 105
Van Nuys, CA 91405
Phone
(818) 781-6684
NPI assigned
Dec 8, 2011
Organization subpart
Yes
Parent organization
CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC.As 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
Dr. Jayson Hymes, M.D.NPI 1225032048
Title
President
Phone
(818) 781-6684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

6815 Noble Ave
Suite 105
Van Nuys, CA 91405

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 474-9809

National Provider Directory

National Provider Directory
Tax ID family
Conservative Care Spec4 organizations share this tax ID, including this one
Part of
Conservative Care Spec

Other organizations with this tax ID 3

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531785600000",
    "number": "1134497985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-474-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-781-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC.",
        "enumeration_date": "2011-12-08",
        "last_updated": "2018-07-17",
        "status": "A",
        "authorized_official_last_name": "HYMES",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-781-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "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.