NPIMap

Organization Active NPI

Conservative Care Specialists Medical Group Inc

  • Pain Medicine (Anesthesiology) Physician
  • Van Nuys, CA
National Provider Identifier
1861539280
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
G056728 Issued in CA
Legal business name
CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC
Practice address
6815 Noble Ave
Suite 105
Van Nuys, CA 91405
Phone
(818) 781-6684
Fax
(818) 781-4457
NPI assigned
Feb 1, 2007
Organization subpart
Yes
Parent organization
CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Authorized official

Name
Dr. Jayson A. Hymes, M.D.NPI 1225032048
Title
President
Phone
(818) 781-6684

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X G056728 CA Primary

Addresses

Primary practice location

6815 Noble Ave
Suite 105
Van Nuys, CA 91405

Mailing address

PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900

Other practice location 1

5901 W Olympic Blvd Ste 204
Los Angeles, CA 90036-4663
Phone (323) 938-2300

Other identifiers 1

IdentifierTypeStateIssuer
GR0065790MedicaidCA

National Provider Directory

National Provider Directory
Part of
Conservative Care Spec

Locations

1604 Monte Vis Ave Ste 270
Claremont, CA 91711

5901 W Olympic Blvd
Ste 204
Los Angeles, CA 90036
Phone (323) 938-2300

13540 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 990-0267

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589932800000",
    "number": "1861539280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5486",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928635486",
            "telephone_number": "818-550-0900",
            "fax_number": "303-953-8260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 NOBLE AVE",
            "address_2": "SUITE 105",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91405",
            "telephone_number": "818-781-6684",
            "fax_number": "818-781-4457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5901 W Olympic Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900364663",
            "country_code": "US",
            "telephone_number": "323-938-2300",
            "fax_number": "323-938-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A",
        "authorized_official_last_name": "HYMES",
        "authorized_official_first_name": "JAYSON",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-781-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "G056728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0065790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.