Individual provider Active NPI

Conny D Huthsteiner, M.D.

  • Psychiatry Physician
  • Encino, CA
National Provider Identifier
1548207152
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C53158 Issued in CA
Practice address
4537 Gable Dr
Encino, CA 91316-4355
Phone
(818) 578-5658
Fax
(818) 578-5658
NPI assigned
Jun 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 81536 MA
Psychiatry Physician 2084P0800X C53158 CA Primary

Addresses

Primary practice location

4537 Gable Dr
Encino, CA 91316-4355

Mailing address

5805 White Oak Ave Unit 17225
Encino, CA 91416-5063
Phone (818) 578-5658

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20220304002094 CA Practitioner - Psychiatry 7810998093 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12655 Ventura Blvd
Suite 500
Encino, CA 91436-2310
Phone (916) 576-7900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81536MAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Burlingame PC Psychiatry CurrentSince Feb 25, 2022 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatry CurrentSince Feb 25, 2022 Accepting new patients

Locations

4553 Glencoe Ave
Ste 315
Marina del Rey, CA 90292

3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898

360 S Hope Ave
Ste C205
Santa Barbara, CA 93105

2750 Sycamore Dr
Ste 201
Simi Valley, CA 93065
Phone (805) 583-0110

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333929600000",
    "number": "1548207152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 WHITE OAK AVE UNIT 17225",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914165063",
            "telephone_number": "818-578-5658",
            "fax_number": "818-578-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4537 GABLE DR",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913164355",
            "telephone_number": "818-578-5658",
            "fax_number": "818-578-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTHSTEINER",
        "first_name": "CONNY",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-01",
        "last_updated": "2012-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "81536",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C53158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

Verify at the official NPI Registry.