Individual provider Active NPI

Janet Cynthia Conney, MD, INC.

  • Geriatric Psychiatry Physician
  • Garden Grove, CA
National Provider Identifier
1801988050
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Psychiatry PhysicianTaxonomy code 2084P0805X
License
A55794 Issued in CA
Practice address
12062 Valley View Street
Suite 129
Garden Grove, CA 92845
Phone
(562) 342-3006
Fax
(562) 206-0042
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X A55794 CA Primary

Addresses

Primary practice location

12062 Valley View Street
Suite 129
Garden Grove, CA 92845

Mailing address

12062 Valley View Street
Suite 129
Garden Grove, CA 92845
Phone (562) 342-3006

Other names 1

  • Janet Cynthia Conney Other name

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
I20140207001461 CA Practitioner - PsychiatryPractitioner - Geriatric PsychiatryPractitioner - Geriatric Medicine 3072742378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A55794CAMDGeriatric Psychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1801988050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW STREET",
            "address_2": "SUITE 129",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "562-342-3006",
            "fax_number": "562-206-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 VALLEY VIEW STREET",
            "address_2": "SUITE 129",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "92845",
            "telephone_number": "562-342-3006",
            "fax_number": "562-206-0042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNEY",
        "first_name": "JANET",
        "middle_name": "CYNTHIA",
        "name_prefix": "Dr.",
        "credential": "MD, INC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "CA",
            "license": "A55794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANET",
            "last_name": "CONNEY",
            "middle_name": "CYNTHIA",
            "credential": "MD, (SOLE PROPRIETOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

Verify at the official NPI Registry.