Organization Active NPI

Joel a Lebovitz MD a Professional Corporation

  • Internal Medicine Physician
  • Encino, CA
National Provider Identifier
1033175252
Registry record updated Mar 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
JOEL A LEBOVITZ MD A PROFESSIONAL CORPORATION
Practice address
16133 Ventura Blvd
Suite 400
Encino, CA 91436-2429
Phone
(818) 528-1025
Fax
(818) 528-1026
NPI assigned
Apr 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2013

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

Authorized official

Name
Joel A Lebovitz, MDNPI 1760448963
Title
President
Phone
(818) 528-1025

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X

Addresses

Primary practice location

16133 Ventura Blvd
Suite 400
Encino, CA 91436-2429

Mailing address

16133 Ventura Blvd
Suite 400
Encino, CA 91436-2429
Phone (818) 528-1025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060324000679 CA Part B Supplier - Clinic/Group Practice 4082622527 Receives reassigned benefits from 1 practitioner
Practice locations: Tarzana, CA

National Provider Directory

National Provider Directory

Locations

5620 Wilbur Ave
Ste 303
Tarzana, CA 91356
Phone (818) 528-1025

Practitioners & affiliated clinicians

Practitioners 1

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": "1145923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362960000000",
    "number": "1033175252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-528-1025",
            "fax_number": "818-528-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16133 VENTURA BLVD",
            "address_2": "SUITE 400",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914362429",
            "telephone_number": "818-528-1025",
            "fax_number": "818-528-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOEL A LEBOVITZ MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-03-11",
        "status": "A",
        "authorized_official_last_name": "LEBOVITZ",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-528-1025",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.