Individual provider Active NPI

Jonathan Levin, M.D.

  • Specialist
  • Victorville, CA
National Provider Identifier
1376645150
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A60920 Issued in CA
Practice address
14021 Amargosa Rd
Victorville, CA 92392-6404
Phone
(760) 983-2030
NPI assigned
Sep 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0059441 MD
Specialist 174400000X A60920 CA Primary

Addresses

Primary practice location

14021 Amargosa Rd
Victorville, CA 92392-6404

Mailing address

458 N Fuller Ave Ste 103
Los Angeles, CA 90036-2521
Phone (323) 605-9323

Other practice location 1

7106 Ridge Rd Ste 100
Rosedale, MD 21237-3876
Phone (443) 868-7149

Other practice location 2

3413 Olandwood Ct
Suite 103
Olney, MD 20832-1489
Phone (301) 774-1622

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL info@lapainandperformance.com Direct
CONNECT URL lapainandperformance.com

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
I20040729000986 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 6305839366 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60920CAMDSpecialist
D0059441MDMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
La Pain and Performance Current Accepting new patients
Integrative Sports and Spine Inc CurrentSince Dec 30, 2019 Accepting new patients
Olney Pain Center Past Accepting new patients
Island Musculoskeletal Care MD PC Past Accepting new patients
La Pain and Performance Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
La Pain and Performance Past Accepting new patients
Olney Pain Center Past Accepting new patients

Locations

7777 Sunrise Blvd
Ste 2500
Citrus Hts, CA 95610
Phone (562) 997-2171

1601 Dove St
Ste 275
Newport Beach, CA 92660
Phone (310) 853-6390

1095 N Main St
Ste L
Orange, CA 92867
Phone (657) 221-5436

9681 Business Center Dr
Ste C
Rancho Cucamonga, CA 91730
Phone (909) 475-0475

1150 Tilton Dr
Sunnyvale, CA 94087
Phone (408) 735-2700

14021 Amargosa Rd
Victorville, CA 92392
Phone (760) 962-1415

Organizations & group practices 8

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1376645150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "458 N FULLER AVE STE 103",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900362521",
            "telephone_number": "323-605-9323",
            "fax_number": "301-774-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 AMARGOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923926404",
            "telephone_number": "760-983-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7106 Ridge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rosedale",
            "state": "MD",
            "postal_code": "212373876",
            "country_code": "US",
            "telephone_number": "443-868-7149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3413 Olandwood Ct",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Olney",
            "state": "MD",
            "postal_code": "208321489",
            "country_code": "US",
            "telephone_number": "301-774-1622",
            "fax_number": "301-774-0488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0059441",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A60920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@lapainandperformance.com",
            "affiliation": "N",
            "endpointDescription": "office HIPAA compliant email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "office HIPAA compliant email",
            "address_1": "14021 Amargosa Rd",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923926404",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lapainandperformance.com",
            "affiliation": "N",
            "address_1": "14021 Amargosa Rd",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923926404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.