Scott D Levenson, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G71807 Issued in CA

Legal business name

SCOTT D LEVENSON, MD

Practice address

1000 Laurel St
San Carlos, CA 94070-3939

Phone

(650) 596-8800

Fax

(650) 596-8802

NPI assigned

Nov 23, 2007

Organization subpart

No

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

Authorized official

Name

Scott D Levenson, MDNPI 1578548186

Title

President

Phone

(650) 596-8800

Specialties & licenses 2

Addresses

Other identifiers 1

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Scott David Levenson, MD

  • Gastroenterology Physician
  • San Carlos, CA
  • NPI 1578548186
  NPD (past) Authorized official

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

{
    "created_epoch": "1195776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1229904000000",
    "number": "1114108768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7625",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940267625",
            "telephone_number": "650-596-8800",
            "fax_number": "650-596-8802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LAUREL ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703939",
            "telephone_number": "650-596-8800",
            "fax_number": "650-596-8802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTT D LEVENSON, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-23",
        "last_updated": "2008-12-22",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-596-8800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G71807",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "A98824",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDAVANT SUBMITTER ID",
            "identifier": "BBB12433B",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John S. Schoenberger, M.D.
• Anne Rochelle Schoenhard, D.D.S.
• Elden Madera Schuller, M.D
• Robin Schulte, PSY.D.
• Scooter Store - San Francisco LLC
• Danijela Sebisanovic
• Chana Segal, AMFT
• Susan M Selby, GC
• Nick Selimis, D.C.
• Alexis Ann Semanchuk, RPH

• Gastroenterology Physician in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2008; 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.