Active NPI
Conrad Tseng MD, Inc.
- Endocrinology, Diabetes & Metabolism Physician
- Beverly Hills, CA
National Provider Identifier
1255730685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- A74027
- Legal business name
- CONRAD TSENG MD, INC.
- Practice address
- 99 N la Cienega Blvd
#107
Beverly Hills, CA 90211-2222 - Phone
- (310) 652-3000
- Fax
- (310) 659-8797
- NPI assigned
- Aug 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Conrad Tseng, M.D.
- Title
- President
- Phone
- (310) 652-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | A74027 | CA | Primary |
Addresses
Primary practice location
99 N la Cienega Blvd
#107
Beverly Hills, CA 90211-2222
Mailing address
99 N la Cienega Blvd
#107
Beverly Hills, CA 90211-2222
Phone (310) 652-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7092636 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408579200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1408579200000",
"number": "1255730685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD",
"address_2": "#107",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112222",
"telephone_number": "310-652-3000",
"fax_number": "310-659-8797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 N LA CIENEGA BLVD",
"address_2": "#107",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902112222",
"telephone_number": "310-652-3000",
"fax_number": "310-659-8797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONRAD TSENG MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-21",
"last_updated": "2014-08-21",
"status": "A",
"authorized_official_last_name": "TSENG",
"authorized_official_first_name": "CONRAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "310-652-3000",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "CA",
"license": "A74027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7092636",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.