Individual provider Active NPI

Mishelle Konviser, NP

  • Registered Nurse
  • Beverly Hills, CA
National Provider Identifier
1346149812
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95326616 Issued in CA
Practice address
436 N Bedford Dr Ste 105
Beverly Hills, CA 90210-4323
Phone
(310) 278-8200
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95326616 CA Primary

Addresses

Primary practice location

436 N Bedford Dr Ste 105
Beverly Hills, CA 90210-4323

Mailing address

20058 Ventura Blvd # 118
Woodland Hills, CA 91364-2637
Phone (323) 384-6886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1793577600000",
    "number": "1346149812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20058 VENTURA BLVD # 118",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913642637",
            "telephone_number": "323-384-6886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 N BEDFORD DR STE 105",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104323",
            "telephone_number": "310-278-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONVISER",
        "first_name": "MISHELLE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95326616",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.