Organization Active NPI

P. David Leviadin, MD, Inc.

  • Psychiatry Physician
  • Beverly Hills, CA
National Provider Identifier
1043368293
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A60515 Issued in CA
Legal business name
P. DAVID LEVIADIN, MD, INC.
Practice address
450 N Bedford Dr
Suite 304
Beverly Hills, CA 90210-4324
Phone
(310) 888-8050
Fax
(310) 888-8021
NPI assigned
Jan 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Authorized official

Name
P. David Leviadin, M.D.
Title
Owner
Phone
(310) 888-8050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X A60515 CA Primary

Addresses

Primary practice location

450 N Bedford Dr
Suite 304
Beverly Hills, CA 90210-4324

Mailing address

450 N Bedford Dr
Suite 304
Beverly Hills, CA 90210-4324
Phone (310) 888-8050

National Provider Directory

National Provider Directory

Locations

450 N Bedford Dr
Ste 304
Beverly Hills, CA 90210
Phone (310) 888-8050

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": "1168041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263340800000",
    "number": "1043368293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR",
            "address_2": "SUITE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-888-8050",
            "fax_number": "310-888-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N BEDFORD DR",
            "address_2": "SUITE 304",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104324",
            "telephone_number": "310-888-8050",
            "fax_number": "310-888-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P. DAVID LEVIADIN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-06",
        "last_updated": "2010-01-13",
        "status": "A",
        "authorized_official_last_name": "LEVIADIN",
        "authorized_official_first_name": "P.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-888-8050",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A60515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.