John McConnellogue, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G32529 Issued in CA

Practice address

7301 Medical Center Dr Ste 404
West Hills, CA 91307-1930

Phone

(818) 347-3239

Fax

(818) 348-0444

NPI assigned

May 3, 2006

Last updated

Mar 10, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1487612073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR STE 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071930",
            "telephone_number": "818-347-3239",
            "fax_number": "818-348-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR STE 404",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071930",
            "telephone_number": "818-347-3239",
            "fax_number": "818-348-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELLOGUE",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G32529",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G32529",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G325290",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Steven Howard McCormack, MS PT
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• Kelsey McKeever, RN
• Andrew Keeler McLaren, MD
• Medallion Prescription Pharmacy

• General Practice Physician in West Hills, CA
• Providers in West Hills, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.