Active NPI
Laura Ellen Conley, M.D.
- Family Medicine Physician
- Burbank, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A98933
- Practice address
- 4323 W Riverside Dr
Burbank, CA 91505-4044 - Phone
- (818) 556-2700
- Fax
- (818) 295-3450
- NPI assigned
- Oct 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A98933 | CA | Primary |
Addresses
Primary practice location
4323 W Riverside Dr
Burbank, CA 91505-4044
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
6344 Topanga Canyon Blvd Ste 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292
Other practice location 2
26585 Agoura Rd Ste 330
Calabasas, CA 91302-1958
Phone (818) 876-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A989330 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A98933 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients | |
| Northeast Valley Health Corporation | Current | Accepting new patients |
Locations
7843 Lankershim Blvd
North Hollywood, CA 91605
Phone (818) 765-8656
1172 N Maclay Ave
San Fernando, CA 91340
Phone (818) 898-1388
23413 Lyons Ave
Valencia, CA 91355
Phone (661) 593-7500
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- laura.conley.p1@direct.nevhc.nextgenshare.com
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Van Nuys, CA
- NPI 1629079009
-
- Federally Qualified Health Center (FQHC)
- Santa Clarita, CA
- NPI 1548960834
-
- Federally Qualified Health Center (FQHC)
- Santa Clarita, CA
- NPI 1558693655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1649468992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4323 W RIVERSIDE DR",
"city": "BURBANK",
"state": "CA",
"postal_code": "915054044",
"telephone_number": "818-556-2700",
"fax_number": "818-295-3450"
}
],
"practiceLocations": [
{
"address_1": "6344 Topanga Canyon Blvd Ste 2040",
"address_purpose": "LOCATION",
"city": "Woodland Hills",
"state": "CA",
"postal_code": "913672362",
"country_code": "US",
"telephone_number": "818-610-0292",
"fax_number": "818-610-0293",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "26585 Agoura Rd Ste 330",
"address_purpose": "LOCATION",
"city": "Calabasas",
"state": "CA",
"postal_code": "913021958",
"country_code": "US",
"telephone_number": "818-876-1050",
"fax_number": "818-876-1026",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CONLEY",
"first_name": "LAURA",
"middle_name": "ELLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A98933",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A989330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Burbank, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.