Organization Active NPI

Howard P. Levy D.O., Inc

  • Family Medicine Physician
  • Yucca Valley, CA
National Provider Identifier
1285900340
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4148 Issued in CA
Legal business name
HOWARD P. LEVY D.O., INC
Practice address
57370 29 Palms Hwy
Suite 203
Yucca Valley, CA 92284-2900
Phone
(760) 369-0069
NPI assigned
Mar 22, 2012
Last updated
Oct 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Howard P. Levy, D.O.NPI 1053323626
Title
President/Director
Phone
(760) 369-0069

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20A4148 CA
Family Medicine Physician 207Q00000X 20A4148 CA Primary
Adult Medicine Physician 207QA0505X 20A4148 CA
Geriatric Medicine (Family Medicine) Physician 207QG0300X 20A4148 CA
Sports Medicine (Family Medicine) Physician 207QS0010X 20A4148 CA
Internal Medicine Physician 207R00000X A128469 CA
Cardiovascular Disease Physician 207RC0000X 20A4148 CA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 20A4148 CA
Physical Medicine & Rehabilitation Physician 208100000X 20A4148 CA
Surgery Physician 208600000X 20A4148 CA
Urology Physician 208800000X 20A4148 CA
General Practice Physician 208D00000X 20A4148 CA
Pain Medicine Physician 208VP0000X 20A4148 CA
Sleep Medicine (Family Medicine) Physician 207QS1201X 20A4148 CA
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 20A4148 CA

Addresses

Primary practice location

57370 29 Palms Hwy
Suite 203
Yucca Valley, CA 92284-2900

Mailing address

57370 29 Palms Hwy
Suite 203
Yucca Valley, CA 92284-2900
Phone (760) 369-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120712000765 CA Part B Supplier - Clinic/Group Practice 0042475261 Receives reassigned benefits from 1 practitioner
Practice locations: Palm Springs, CA; Yucca Valley, CA; Palm Desert, CA

National Provider Directory

National Provider Directory

Locations

41865 Boardwalk
Ste 103
Palm Desert, CA 92211
Phone (760) 340-2260

1750 E Arenas Rd
Ste 2
Palm Springs, CA 92262
Phone (760) 880-4727

57370 29 Palms Hwy
Ste 203
Yucca Valley, CA 92284
Phone (760) 369-0069

Practitioners & affiliated clinicians

Practitioners 2

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": "1332374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1285900340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57370 29 PALMS HWY",
            "address_2": "SUITE 203",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842900",
            "telephone_number": "760-369-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57370 29 PALMS HWY",
            "address_2": "SUITE 203",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842900",
            "telephone_number": "760-369-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD P. LEVY D.O., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-22",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "760-369-0069",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A128469",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "207QS1201X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sleep Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "CA",
            "license": "20A4148",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.