CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC. (NPI# 1134497985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134497985 |
| Entity Type | Organization |
| Organization Name | CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC. |
| Practice Address |
6815 Noble Ave Suite 105 Van Nuys CA 91405 |
| Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
| Practice Telephone | 8187816684 |
| Mailing Telephone | 3104749809 |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2018-07-17 |
| Authorized Official Name | DR. JAYSON HYMES (PRESIDENT) |
| Authorized Official Telephone | 8187816684 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053689802 | Conservative Care Specialists Medical Group Inc. | Non-Pharmacy Dispensing Site | 5901 W Olympic Blvd, Suite 204, Los Angeles, CA 90036 | 2011-12-08 |
| Street Address |
6815 NOBLE AVE SUITE 105 |
| City | VAN NUYS |
| State | CA |
| Zip Code | 91405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225032048 | Jayson A Hymes | Specialist | 6815 Noble Ave, Suite 105, Van Nuys, CA 91405-3796 | 2005-06-09 |
| 1902404635 | Austin Charles Myles Gray | Physical Therapist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2020-10-14 |
| 1033723945 | Zack Gonzalez | Specialist/Technologist | 6815 Noble Ave, Van Nuys, CA 91405-3730 | 2020-09-08 |
| 1518578772 | Graeme Drew Matthewson | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2020-08-12 |
| 1508417932 | Neil Yasuda | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-09-26 |
| 1457811838 | Regents of The University of California | Orthopaedic Surgery | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-03-22 |
| 1457825077 | Jordan Lea Fleming | Physical Therapist | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2019-01-16 |
| 1336615988 | Regents of The University of California | Licensed Practical Nurse | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2018-10-22 |
| 1992231179 | Eleanora Chamanara | Nurse Practitioner | 6815 Noble Ave, Suite 400, Van Nuys, CA 91405-3796 | 2017-05-05 |
| 1376997312 | Phu-phuc Phan | Physician Assistant | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2016-04-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033955 | Pro-med Hospice Inc | Hospice Care, Community Based | 6621 Van Nuys Blvd, Unit 108, Van Nuys, CA 91405 | 2020-11-08 |
| 1205452174 | Graeme Matthewson | Student in an Organized Health Care Education/Training Program | 6815 Noble Avenue, Van Nuys, CA 91405 | 2020-06-17 |
| 1023671179 | Cory Andrew Kwong | Student in an Organized Health Care Education/Training Program | C/o Lauren Daoust - Southern California Orthopedic Inst, 6815 Noble Avenue, Van Nuys, CA 91405 | 2019-04-15 |
| 1871052878 | Eric Nunez | Behavior Technician | 7226 Sepulveda Boulevard, Van Nuys, CA 91405 | 2019-03-19 |
| 1487113437 | Cindy Antillon | Behavior Technician | 7226 Sepulveda Blvd. Van Nuys, Ca 91405, Van Nuys, CA 91405 | 2019-03-19 |
| 1326507690 | Jordan Elliot Brooks | Behavior Technician | 7226 Sepulveda Blvd., Van Nuys, CA 91405 | 2019-03-17 |
| 1689132110 | Bright Star Home Health Care, Inc. | Home Health | 7141 Wooley Ave, Van Nuys, CA 91405 | 2019-03-04 |
| 1336650498 | Avanti Transportation Services, LLC | Private Vehicle | 7020 Lennox Ave #7, Van Nuys, CA 91405 | 2017-10-17 |
| 1801312434 | Marissa Topete | Rehabilitation Counselor | 14624 Sherman Way, Suite 404, Van Nuys, CA 91405 | 2017-08-15 |
| 1750802468 | Selin Ani Zarmanoglu | Marriage & Family Therapist | 14600 Sherman Way #100d, Van Nuys, CA 91405 | 2017-07-03 |
| Find all providers in zip 91405 | ||||
| Taxonomy Code | 332900000X |
| Grouping | Suppliers |
| Classification | Non-Pharmacy Dispensing Site |
| A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
| Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861945115 | Hematology-oncology Medical Group of S F Valley | Non-Pharmacy Dispensing Site | 6850 Sepulveda Blvd, Suite 211, Van Nuys, CA 91405-4444 | 2016-08-03 |
| 1295026490 | Southern California Orthopedic Institute, Lp | Non-Pharmacy Dispensing Site | 6815 Noble Ave, Van Nuys, CA 91405-3796 | 2011-04-22 |
| 1841331220 | Health Care Partners, Inc. | Non-Pharmacy Dispensing Site | 14600 Sherman Way, Suite 300, Van Nuys, CA 91405-2283 | 2007-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982225496 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 5757 Pacific Ave Ste 228, Stockton, CA 95207-5159 | 2020-05-06 |
| 1285268391 | Artius Dermatology Associates PC | Non-Pharmacy Dispensing Site | 1337 S Lovers Ln Ste D, Visalia, CA 93292-5249 | 2020-02-27 |
| 1790327732 | Triumph Specialties LLC | Non-Pharmacy Dispensing Site | 11100 Sepulveda Blvd # 8-519, Mission Hills, CA 91345-1131 | 2019-10-10 |
| 1487210365 | Artius Dermatology Associates P.C. | Non-Pharmacy Dispensing Site | 325 Mall Dr Ste 111, Hanford, CA 93230-5950 | 2019-05-15 |
| 1376030080 | Jane F Kardashian Md Inc | Non-Pharmacy Dispensing Site | 6769 N Fresno, Fresno, CA 93710 | 2018-04-18 |
| 1023511045 | Performance Health Medical Group | Non-Pharmacy Dispensing Site | 25431 Cabot Road Suite 118, Laguna Hills, CA 92653 | 2018-03-15 |
| 1043719206 | Southern California Orthopedic Institute L.p | Non-Pharmacy Dispensing Site | 4100 Empire Dr Ste 120, Bakersfield, CA 93309-0408 | 2018-02-02 |
| 1174032353 | Golden Gate Urology, Inc. | Non-Pharmacy Dispensing Site | 139 Townsend St Ste 100, San Francisco, CA 94107-1946 | 2017-09-20 |
| 1215462080 | Mas Management Group, Inc. | Non-Pharmacy Dispensing Site | 28446 Constellation Rd, Valencia, CA 91355-5081 | 2017-04-28 |
| 1730624719 | St. John's Well Child and Family Center Inc | Non-Pharmacy Dispensing Site | 326 W 23rd St, Los Angeles, CA 90007-2612 | 2016-12-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CONSERVATIVE CARE SPECIALISTS MEDICAL GROUP INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.