Organization Active NPI

D Levi Harrison MD a Prof Corp

  • Orthopaedic Hand Surgery Physician
  • Glendale, CA
National Provider Identifier
1164669073
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A73863 Issued in CA
Legal business name
D LEVI HARRISON MD A PROF CORP
Practice address
800 S Central Ave Ste 204
Glendale, CA 91204-4379
Phone
(818) 240-8001
Fax
(818) 240-8019
NPI assigned
Jan 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Dr. Danny Levi Harrison, M.D.NPI 1184763435
Title
M.D./Ceo
Phone
(818) 240-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XS0106X A73863 CA Primary

Addresses

Primary practice location

800 S Central Ave Ste 204
Glendale, CA 91204-4379

Mailing address

800 S Central Ave Ste 204
Glendale, CA 91204-4379
Phone (818) 240-8001

Other names 1

  • D Levi Harrison MD A Professional Corporation Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090706000493 CA Part B Supplier - Clinic/Group Practice 2860553419 Receives reassigned benefits from 1 practitioner
Practice locations: Glendale, CA

National Provider Directory

National Provider Directory
Tax ID family
D Levi Harrison MD a Prof Corp2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1560 E Chevy Chase Dr
Ste 350
Glendale, CA 91206
Phone (818) 240-8001

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": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1164669073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044379",
            "telephone_number": "818-240-8001",
            "fax_number": "818-240-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 S CENTRAL AVE STE 204",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912044379",
            "telephone_number": "818-240-8001",
            "fax_number": "818-240-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D LEVI HARRISON MD A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "DANNY",
        "authorized_official_middle_name": "LEVI",
        "authorized_official_title_or_position": "M.D./CEO",
        "authorized_official_telephone_number": "818-240-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A73863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "D Levi Harrison MD A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "D Levi Harrison MD A Professional Corporation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.