Individual provider Active NPI

United Baudouin Levao

  • Peer Specialist
  • San Diego, CA
National Provider Identifier
1083559124
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
MPSS-MYRPVZ Issued in CA
Practice address
4047 Normal St
San Diego, CA 92103-2617
Phone
(760) 842-2232
NPI assigned
Apr 23, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X MPSS-MYRPVZ CA Primary
Case Manager/Care Coordinator 171M00000X CA

Addresses

Primary practice location

4047 Normal St
San Diego, CA 92103-2617

Mailing address

4047 Normal St
San Diego, CA 92103-2617
Phone (760) 842-2232

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MPSS-MYRPVZCAMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1776902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1083559124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 NORMAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032617",
            "telephone_number": "760-842-2232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 NORMAL ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921032617",
            "telephone_number": "760-842-2232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVAO",
        "first_name": "UNITED",
        "middle_name": "BAUDOUIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-23",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-MYRPVZ",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.