Individual provider Active NPI

Jessica Lynn Levatino, M.D.

  • Family Medicine Physician
  • Stanford, CA
National Provider Identifier
1285924944
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A171486 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
Apr 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A171486 CA Primary
Family Medicine Physician 207Q00000X 277049 NY

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Other practice location 1

110 W 97th St
New York, NY 10025-6450
Phone (212) 749-1820

Other practice location 2

211 Quarry Rd Ste Mc5993
Palo Alto, CA 94304-1416
Phone (858) 688-1770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150401002299 NY Practitioner - Internal Medicine 8729305628 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171486CAMDFamily Medicine Physician
277049NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Urgent Care of Astoria PLLC CurrentSince Jan 1, 2017 Accepting new patients
Southern Westchester Urgent Care PLLC CurrentSince Mar 4, 2017 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Oct 21, 2014 Accepting new patients
Jessica Levatino MD Inc CurrentSince Sep 5, 2021 Accepting new patients
William F Ryan Community Health Center Inc CurrentSince Oct 21, 2014 Accepting new patients
Midtown New York Doctors Urgent Care PLLC CurrentSince Jun 29, 2016 Accepting new patients

Locations

211 Quarry Rd
Ste MC5993
Palo Alto, CA 94304
Phone (858) 688-1770

15740 Crossbay Blvd
Howard Beach, NY 11414
Phone (917) 300-6969

484 Temple Hill Rd
Ste 103
New Windsor, NY 12553

484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444

110 W 97th St
New York, NY 10025
Phone (212) 316-7906

205 Lexington Ave
#215
New York, NY 10016
Phone (212) 684-4700

1915 Central Park Ave
#25
Yonkers, NY 10710
Phone (914) 682-8485

Interoperability endpoints

  • Direct secure messaging: jessica.levatino@1001478880886788.direct.elationemr.com
  • Direct secure messaging: jessica.levatino@773662048260.direct.elationemr.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1285924944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 97th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100256450",
            "country_code": "US",
            "telephone_number": "212-749-1820",
            "fax_number": "212-864-7329",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Quarry Rd Ste Mc5993",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041416",
            "country_code": "US",
            "telephone_number": "858-688-1770",
            "fax_number": "650-325-1816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVATINO",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-14",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A171486",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "277049",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.