Cary D Nelson, M.D.

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

License

A87420 Issued in CA

Practice address

12626 Riverside Dr Ste 510
Valley Village, CA 91607-3463

Phone

(818) 755-0101

NPI assigned

Oct 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Meridian Hospice Inc

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
  • NPI 1780132266

  W-2 Managing Employee

  CMS ownership
• Morningside Hospice Inc.

  • Community Based Hospice Care Agency
  • Burbank, CA
  • NPI 1477151371

  W-2 Managing Employee

  CMS ownership
• Olympia Hospice Care, Inc.

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
  • NPI 1770963159

  W-2 Managing Employee

  CMS ownership
• Valley Oaks Hospice, Inc

  • Community Based Hospice Care Agency
  • Irvine, CA
  • NPI 1063817096

  W-2 Managing Employee

  CMS ownership

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.

• Winnel Inc.

  • Family Medicine Physician
  • Torrance, CA
  • NPI 1285170613
  NPD (past) Authorized official
• J M Geiss DO Apc

  • Family Medicine Physician
  • Santa Ana, CA
  • NPI 1063825289
  NPD
• Ocean Point Physical Therapy Inc

  • Physical Therapy Clinic/Center
  • Redondo Beach, CA
  • NPI 1831432657
  NPD
• Meridian Hospice Inc

  • Community Based Hospice Care Agency
  • Sherman Oaks, CA
  • NPI 1780132266

  Adult Medicine

  NPD (past)
• Rehabcare Group East, LLC

  • Rehabilitation Clinic/Center
  • Laguna Hills, CA
  • NPI 1033161849
  NPD (past)

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

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215018486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3341",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908030341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12626 RIVERSIDE DR STE 510",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916073463",
            "telephone_number": "818-755-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "CARY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A87420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cody Murray, CMT
• Matteo Renato Muti, PH.D.
• N Orthodontics
• Anais Deanna Nahapetyan
• Alayla Julianna Navarro
• Shayna Nerland, LCSW
• New Light Home Health, Inc.
• New U Beginnings Inc
• Elizabeth Abigail Nolasco Aleman
• Noor Home Health

• Adult Medicine Physician in Valley Village, CA
• Providers in Valley Village, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.