Active NPI
Michel F. Levesque, M.D.
- Neurological Surgery Physician
- Los Angeles, CA
National Provider Identifier
1205915725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G59708
- Practice address
- 444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048-4174 - Phone
- (310) 659-6633
- Fax
- (310) 659-6631
- NPI assigned
- Nov 3, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G59708 | CA | Primary |
Addresses
Primary practice location
444 S San Vicente Blvd
Ste 800
Los Angeles, CA 90048-4174
Mailing address
269 S Beverly Dr
Ste 320
Beverly Hills, CA 90212-3851
Phone (310) 659-6633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954390150 | Other | CA | TAX ID |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G59708 | CA | MD | Neurological Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1205915725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 S BEVERLY DR",
"address_2": "STE 320",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902123851",
"telephone_number": "310-659-6633",
"fax_number": "310-659-6631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 S SAN VICENTE BLVD",
"address_2": "STE 800",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900484174",
"telephone_number": "310-659-6633",
"fax_number": "310-659-6631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVESQUE",
"first_name": "MICHEL",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-03",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G59708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "954390150",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.