Individual provider Active NPI

Debra A Levinsky, M.D.

  • Specialist
  • Lafayette, CA
National Provider Identifier
1326111832
Registry record updated Jun 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G376840 Issued in CA
Practice address
3466 Mt Diablo Blvd
Suite C100
Lafayette, CA 94549-7106
Phone
(925) 283-5800
Fax
(925) 284-8115
NPI assigned
Nov 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G376840 CA Primary

Addresses

Primary practice location

3466 Mt Diablo Blvd
Suite C100
Lafayette, CA 94549-7106

Mailing address

2918 Elmwood CT
Berkeley, CA 94705-2326
Phone (925) 283-5800

Other identifiers 1

IdentifierTypeStateIssuer
00G376840MedicaidCA

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000823 CA Practitioner - Obstetrics/Gynecology 5991991879

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G376840CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Contra Costa Medical Group for Women, Inc. CurrentSince Dec 1, 2014 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

2999 Regent St
Ste 201
Berkeley, CA 94705
Phone (510) 204-0965

500 Alfred Nobel Dr
Ste 200
Hercules, CA 94547
Phone (510) 724-4435

895 Moraga Rd
Ste 11
Lafayette, CA 94549
Phone (925) 283-0313

3466 Mt Diablo Blvd
Ste C100
Lafayette, CA 94549
Phone (925) 283-0424

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/455/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433116800000",
    "number": "1326111832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2918 ELMWOOD CT",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052326",
            "telephone_number": "925-283-5800",
            "fax_number": "925-284-8115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3466 MT DIABLO BLVD",
            "address_2": "SUITE C100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945497106",
            "telephone_number": "925-283-5800",
            "fax_number": "925-284-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINSKY",
        "first_name": "DEBRA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2015-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G376840",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G376840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.