Active NPI
Ian A Levin, M.D.
- Vascular & Interventional Radiology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- C43357
- Practice address
- 5455 Wilshire Boulevard
Suite 1120
Los Angeles, CA 90036-4201 - Phone
- (323) 549-3030
- Fax
- (323) 549-3049
- NPI assigned
- Aug 25, 2006
- Last updated
- Mar 7, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | C43357 | CA | |
| Neuroradiology Physician | 2085N0700X | C43357 | CA | |
| Nuclear Radiology Physician | 2085N0904X | C43357 | CA | |
| Pediatric Radiology Physician | 2085P0229X | C43357 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | C43357 | CA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | C43357 | CA | Primary |
| Diagnostic Ultrasound Physician | 2085U0001X | C43357 | CA |
Addresses
Primary practice location
5455 Wilshire Boulevard
Suite 1120
Los Angeles, CA 90036-4201
Mailing address
Dept la 21559
Pasadena, CA 91185-1559
Phone (949) 263-8620
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C433570 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1328 22ND St
Santa Monica, CA 90404-2032
Phone (310) 829-8814
2202 Wilshire Blvd
Santa Monica, CA 90403-5706
Phone (310) 264-9000
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 253-8000
23929 McBean Pkwy
Suite 109
Valencia, CA 91355-4467
Phone (661) 253-8705
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 85.63
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.75 of 100
- Quality
- 75
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43357 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tower Imaging Medical Group, Inc | Nuclear Radiology | Current | Accepting new patients |
| Tower Imaging Medical Associates, Inc. | Neuroradiology | Current | Accepting new patients |
| Little Company of Mary Ancillary Services Corporation | Current | Accepting new patients | |
| Saint John's Tower Imaging Medical Group, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Citrus Medical Imaging Associates, Inc. | Body Imaging | Past | Accepting new patients |
Locations
5455 Wilshire Blvd
Ste 1120
Los Angeles, CA 90036
Phone (312) 315-7718
14860 Roscoe Blvd
Ste 100
Panorama City, CA 91402
Phone (818) 904-0543
Dept LA 21559
Pasadena, CA 91185
1328 22nd St
Santa Monica, CA 90404
Phone (310) 829-5511
2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024
2202 Wilshire Blvd
Santa Monica, CA 90403
Phone (310) 264-9000
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
23929 McBean Pkwy
Ste 109
Valencia, CA 91355
Phone (661) 253-8705
14850 Roscoe Blvd
Van Nuys, CA 91402
Phone (818) 787-2222
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Diagnostic Radiology Physician
- Los Angeles, CA
- NPI 1023315074
Neuroradiology
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1013962067
Nuclear Radiology
-
dba PLCM Outpatient Imaging Torrance
- Radiology Clinic/Center
- Torrance, CA
- NPI 1265466189
-
- Nuclear Radiology Physician
- West Covina, CA
- NPI 1992801211
Body Imaging
-
- Diagnostic Radiology Physician
- Santa Monica, CA
- NPI 1356396782
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Henry Mayo Newhall Hospital
- General Acute Care Hospital
- Valencia, CA
- NPI 1780668434
-
dba USC Kenneth Norris Jr. Hospital
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1417554528
-
- General Acute Care Hospital
- Santa Monica, CA
- NPI 1124026273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1033227640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "DEPT LA 21559",
"city": "PASADENA",
"state": "CA",
"postal_code": "911851559",
"telephone_number": "949-263-8620",
"fax_number": "949-263-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5455 WILSHIRE BOULEVARD",
"address_2": "SUITE 1120",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900364201",
"telephone_number": "323-549-3030",
"fax_number": "323-549-3049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "IAN",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-25",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "CA",
"license": "C43357",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "CA",
"license": "C43357",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "CA",
"license": "C43357",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "CA",
"license": "C43357",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "C43357",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "CA",
"license": "C43357",
"primary": true
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "CA",
"license": "C43357",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C433570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.