Organization Active NPI

Jon a Le Levier MD Inc

  • Specialist
  • Vista, CA
National Provider Identifier
1215963582
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G39907 Issued in CA
Legal business name
JON A LE LEVIER MD INC
Practice address
2067 W Vista Way
Suite 200
Vista, CA 92083-6031
Phone
(760) 941-9844
Fax
(760) 630-5716
NPI assigned
Jun 25, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Dr. Jon A Le Levier, M.D. INCNPI 1609804111
Title
Anne Billeter
Phone
(760) 941-9844

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)CodeLicenseStatePrimary
Specialist 174400000X G39907 CA Primary

Addresses

Primary practice location

2067 W Vista Way
Suite 200
Vista, CA 92083-6031

Mailing address

2067 W Vista Way
Suite 200
Vista, CA 92083-6031
Phone (760) 941-9844

Other identifiers 1

IdentifierTypeStateIssuer
OOG399070MedicaidCA

National Provider Directory

National Provider Directory

Locations

2067 W Vista Way
Ste 20
Vista, CA 92083
Phone (760) 941-9844

2067 W Vista Way
Ste 200
Vista, CA 92083
Phone (760) 726-2180

Practitioners & 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1215963582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "SUITE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836031",
            "telephone_number": "760-941-9844",
            "fax_number": "760-630-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "address_2": "SUITE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836031",
            "telephone_number": "760-941-9844",
            "fax_number": "760-630-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JON A LE LEVIER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "LE LEVIER",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ANNE BILLETER",
        "authorized_official_telephone_number": "760-941-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.  INC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G39907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG399070",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.