Dr John Kenneth Conrad, MD | |
2950 W Burbank Blvd, Burbank, CA 91505-2309 | |
(818) 842-4400 | |
(818) 842-4401 |
Full Name | Dr John Kenneth Conrad |
---|---|
Gender | Male |
Speciality | Vascular Surgery |
Experience | 30 Years |
Location | 2950 W Burbank Blvd, Burbank, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467452268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0129X | Surgery - Vascular Surgery | 31536 (Arizona) | Secondary |
2086S0129X | Surgery - Vascular Surgery | A74574 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Providence Tarzana Medical Center | Tarzana, CA | Hospital |
Sherman Oaks Hospital | Sherman oaks, CA | Hospital |
Providence Saint Joseph Medical Ctr | Burbank, CA | Hospital |
Glendale Adventist Medical Center | Glendale, CA | Hospital |
Encino Hospital Medical Center | Encino, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
La Vascular And Endovascular Surgery, A Medical Corporation | 2961487095 | 2 |
Entity Name | La Vascular And Endovascular Surgery, A Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912008582 PECOS PAC ID: 2961487095 Enrollment ID: O20040622001069 |
Mailing Address | Practice Location Address |
---|---|
Dr John Kenneth Conrad, MD 23025 Sylvan St, Woodland Hills, CA 91367-1629 Ph: (818) 558-7700 | Dr John Kenneth Conrad, MD 2950 W Burbank Blvd, Burbank, CA 91505-2309 Ph: (818) 842-4400 |
Scott P. Sligh, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3808 W Riverside Dr, Suite#400, Burbank, CA 91505 Phone: 818-848-8840 Fax: 818-848-0439 | |
Caroline Lee Wallner, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 310, Burbank, CA 91505 Phone: 310-794-7700 Fax: 818-260-8718 | |
Dr. Gladys Yee Duen Ng, MD,MPH Surgery Medicare: Accepting Medicare Assignments Practice Location: 2625 W Alameda Ave Ste 310, Burbank, CA 91505 Phone: 310-794-7700 Fax: 818-260-8718 | |
Steve F Heslov, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 191 S Buena Vista St, Burbank, CA 91505 Phone: 818-848-3763 | |
Dr. Mikael Petrosyan, MD Surgery Medicare: Medicare Enrolled Practice Location: 3128 Highland View Dr, Burbank, CA 91504 Phone: 818-618-9797 | |
Andrew Ihor Renner, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2701 W Alameda Ave, Suite 300, Burbank, CA 91505 Phone: 818-843-1497 Fax: 818-843-5283 | |
Mr. Raymond Allen Shofler, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2601 W Alameda Ave, Suite 314, Burbank, CA 91505 Phone: 818-842-9125 Fax: 818-842-9743 |