DR. GARY CONRAD M.D. NPI 1669424271

NPI Information

NPI: 1669424271
Provider Name: DR. GARY CONRAD, M.D.
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

Address:
625 S FAIR OAKS AVE
SUITE 215
PASADENA, CA
ZIP 91105
Phone: (626) 793-4139
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DR. Gary Conrad, M.D. is a cardiovascular disease internal medicine in Pasadena, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. DR. Gary Conrad, M.D. NPI is 1669424271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

625 S FAIR OAKS AVE
SUITE 215
PASADENA, CA
ZIP 91105-613
Phone: (626) 793-4139
Fax: (626) 304-8280

The enumeration date for this NPI number is 5/16/2006 and was last updated on 2/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0005X	Internal Medicine	Hypertension Specialist	A58771	CALIFORNIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	C37034	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	W2223	OTHER	CALIFORNIA	PTAN MEDICARE
2	00C370340	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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