Individual provider Active NPI

David Reece Levin, DPM

  • Foot Surgery Podiatrist
  • Fountain Valley, CA
National Provider Identifier
1265441521
Registry record updated Jun 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E2850 Issued in CA
Practice address
18055 Bushard St
Fountain Valley, CA 92708-5760
Phone
(714) 968-4474
Fax
(949) 493-4252
NPI assigned
Aug 5, 2006
Last updated
Jun 3, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E2850 CA Primary

Addresses

Primary practice location

18055 Bushard St
Fountain Valley, CA 92708-5760

Mailing address

18055 Bushard St
Fountain Valley, CA 92708-5760
Phone (714) 968-4474

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061012000278 CA Practitioner - Podiatry 0840296901 Practice locations: Laguna Niguel, CA; Huntington Beach, CA; Fountain Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

18055 Bushard St
Fountain Valley, CA 92708-5760
Phone (714) 968-4474

30011 Ivy Glenn Dr
Suite 107
Laguna Niguel, CA 92677-5015
Phone (949) 292-7755

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10
Removal or shaving of skin growth84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E2850CAMDFoot Surgery Podiatrist
2850CAMDEEG Technician

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464912000000",
    "number": "1265441521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18055 BUSHARD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085760",
            "telephone_number": "714-968-4474",
            "fax_number": "949-493-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18055 BUSHARD ST",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085760",
            "telephone_number": "714-968-4474",
            "fax_number": "949-493-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "DAVID",
        "middle_name": "REECE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2016-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E2850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

Verify at the official NPI Registry.