Individual provider Active NPI

Michel F. Levesque, M.D.

  • Neurological Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1205915725
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
G59708 Issued in CA
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

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
954390150OtherCATAX 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

LicenseStateTypeSpecialty
G59708CAMDNeurological 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.

Verify at the official NPI Registry.