NPIMap

Individual provider Active NPI

Conrad A. Cox, M.D.

  • Gastroenterology Physician
  • Lakewood, CA
National Provider Identifier
1851338941
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G65723 Issued in CA
Practice address
5750 Downey Ave Ste 303
Attention: Antoinette M. Cox
Lakewood, CA 90712-1477
Phone
(562) 461-8584
Fax
(562) 529-7880
NPI assigned
May 31, 2006
Last updated
Aug 30, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G65723 CA Primary

Addresses

Primary practice location

5750 Downey Ave Ste 303
Attention: Antoinette M. Cox
Lakewood, CA 90712-1477

Mailing address

5750 Downey Ave Ste 303
Attention: Antoinette M. Cox
Lakewood, CA 90712-1477
Phone (562) 461-8584

Other identifiers 5

IdentifierTypeStateIssuer
00G657230MedicaidCA
00G65723OtherBLUE SHIELD ID #
P00361829OtherRAILROAD
110060920OtherRAILROAD
056980OtherHEALTH NET ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060511000258 CA Practitioner - GastroenterologyPractitioner - Internal Medicine 5294746731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5750 Downey Ave
Suite 303
Lakewood, CA 90712-1477
Phone (562) 461-8584

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy58
Upper gastrointestinal (GI) endoscopy for acid reflux25

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G65723CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Partners, a Medical Group Current Accepting new patients
Novacare Surgical Center a Professional Corporation Current Accepting new patients
Prohealth Partners a Medical Group Inc CurrentSince Oct 1, 2017 Accepting new patients
Prohealth Partners, a Medical Group, Inc. CurrentSince Oct 1, 2017 Accepting new patients
University of California Irvine Past Accepting new patients
Pih Health Downey Hospital Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Prohealth Partners, a Medical Group, Inc. Past Accepting new patients
University of California Irvine Past Accepting new patients
Caremore Medical Group Inc Gastroenterology Past Accepting new patients
Caremore Medical Group Gastroenterology Past Accepting new patients

Locations

17822 Beach Blvd
Ste 373
Huntington Beach, CA 92647
Phone (714) 848-3333

3650 South St
Ste 210
Lakewood, CA 90712
Phone (562) 630-0910

5750 Downey Ave
Ste 303
Lakewood, CA 90712
Phone (562) 461-8584

5122 Katella Ave
Ste 308
Los Alamitos, CA 90720
Phone (562) 594-8555

File 54567
Los Angeles, CA 90074
Phone (310) 491-9060

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1851338941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 303",
            "address_2": "ATTENTION: ANTOINETTE M. COX",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121477",
            "telephone_number": "562-461-8584",
            "fax_number": "562-529-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 DOWNEY AVE STE 303",
            "address_2": "ATTENTION: ANTOINETTE M. COX",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121477",
            "telephone_number": "562-461-8584",
            "fax_number": "562-529-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "CONRAD",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G65723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G657230",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD ID #",
            "identifier": "00G65723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00361829",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "110060920",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET ID #",
            "identifier": "056980",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CA

Sources for this page

Verify at the official NPI Registry.