Active NPI
Jeffrey Levine, D.C.
- Chiropractor
- San Jose, CA
National Provider Identifier
1013007186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC17738
- Practice address
- 3591 Stevens Creek Blvd
San Jose, CA 95117-1047 - Phone
- (408) 241-1777
- Fax
- (408) 241-1771
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC17738 | CA | Primary |
Addresses
Primary practice location
3591 Stevens Creek Blvd
San Jose, CA 95117-1047
Mailing address
15520 Rockfield Blvd A200
Irvine, CA 92618-6705
Phone (949) 598-9999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC0177380 | Other | CA | BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141013000000 | CA | Practitioner - Chiropractic | 0345460457 | Practice locations: San Jose, CA |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - West Sunnyvale, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3591 Stevens Creek Blvd
San Jose, CA 95117-1047
Phone (408) 241-1777
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC17738 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Clara | Past | Accepting new patients | |
| Ethosana Performance & Wellness Chiropractic Group Inc | Chiropractor | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1063406551
-
- Chiropractor
- Santa Clara, CA
- NPI 1912846627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445558400000",
"number": "1013007186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15520 ROCKFIELD BLVD A200",
"city": "IRVINE",
"state": "CA",
"postal_code": "926186705",
"telephone_number": "949-598-9999",
"fax_number": "949-598-9990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3591 STEVENS CREEK BLVD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951171047",
"telephone_number": "408-241-1777",
"fax_number": "408-241-1771"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "JEFFREY",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2015-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC17738",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "DC0177380",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.