Organization Active NPI

Conrad Tseng MD, Inc.

  • Endocrinology, Diabetes & Metabolism Physician
  • Beverly Hills, CA
National Provider Identifier
1255730685
Registry record updated Aug 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A74027 Issued in CA
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

Updated by the provider on Aug 21, 2014

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)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
7092636MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.