Individual provider Active NPI

Brett A Levine, M.D.

  • Otolaryngology Physician
  • Torrance, CA
National Provider Identifier
1063413110
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
G74806 Issued in CA
Practice address
21320 Hawthorne Blvd
Suite 119
Torrance, CA 90503-5606
Phone
(310) 543-2313
Fax
(310) 944-9295
NPI assigned
Aug 10, 2005
Last updated
Dec 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X G74806 CA Primary

Addresses

Primary practice location

21320 Hawthorne Blvd
Suite 119
Torrance, CA 90503-5606

Mailing address

21320 Hawthorne Blvd
Suite 119
Torrance, CA 90503-5606
Phone (310) 540-2111

Other identifiers 1

IdentifierTypeStateIssuer
00G748060MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050902000398 CA Practitioner - Otolaryngology 7810929684 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Southern California Keck School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beach Cities EntsGroup PAC ID 3779748678, 5 clinicians

Practice addresses (Care Compare)

20911 Earl St
Suite 340
Torrance, CA 90503-4355
Phone (310) 540-2111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G74806CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brett a. Levine, M.D., PC. Otolaryngology CurrentSince Jun 1, 2005 Accepting new patients
Beach City Ents Otolaryngology Current Accepting new patients

Locations

3801 Katella Ave
Ste 324
Los Alamitos, CA 90720
Phone (562) 431-6626

409 N Pacific Coast Hwy
Ste 482
Redondo Beach, CA 90277

21320 Hawthorne Blvd
Ste 119
Torrance, CA 90503
Phone (310) 540-2111

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: brett.levine@bce-ca.direct.office.nextgen.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1063413110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "SUITE 119",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-540-2111",
            "fax_number": "310-944-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21320 HAWTHORNE BLVD",
            "address_2": "SUITE 119",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035606",
            "telephone_number": "310-543-2313",
            "fax_number": "310-944-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BRETT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G74806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G748060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.