Active NPI
Ira D Levine MD Inc
- Surgery Physician
- San Diego, CA
National Provider Identifier
1164631834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- IRA D LEVINE MD INC
- Practice address
- 4060 4TH Ave Ste 440
San Diego, CA 92103-2183 - Phone
- (619) 298-8891
- Fax
- (619) 298-4997
- NPI assigned
- May 21, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Ira David Levine, M.D.
- Title
- Owner
- Phone
- (619) 298-8891
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
4060 4TH Ave Ste 440
San Diego, CA 92103-2183
Mailing address
4060 4TH Ave Ste 440
San Diego, CA 92103-2183
Phone (619) 298-8891
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Surgery Physician
- San Diego, CA
- NPI 1770550832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164631834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4060 4TH AVE STE 440",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032183",
"telephone_number": "619-298-8891",
"fax_number": "619-298-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4060 4TH AVE STE 440",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032183",
"telephone_number": "619-298-8891",
"fax_number": "619-298-4997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRA D LEVINE MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "IRA",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "619-298-8891",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.