Active NPI
Michael Jay Levine, M. D.
- Pediatrics Physician
- Visalia, CA
National Provider Identifier
1184617813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G18859
- Practice address
- 914 W Center Ave
Visalia, CA 93291-5916 - Phone
- (559) 625-5833
- Fax
- (559) 625-5418
- NPI assigned
- Aug 29, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G18859 | CA | Primary |
Addresses
Primary practice location
914 W Center Ave
Visalia, CA 93291-5916
Mailing address
914 W Center Ave
Visalia, CA 93291-5916
Phone (559) 625-5833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G188590 | Medicaid | CA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140924001550 | CA | Order and Referring Only - Pediatric Medicine | 0547489510 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1184617813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "914 W CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915916",
"telephone_number": "559-625-5833",
"fax_number": "559-625-5418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 W CENTER AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932915916",
"telephone_number": "559-625-5833",
"fax_number": "559-625-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "MICHAEL",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "M. D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G18859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G188590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.