Individual provider Active NPI

Danielle Abramo Levi, DDS

  • Dentist
  • Sausalito, CA
National Provider Identifier
1376893040
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
52419 Issued in CA
Practice address
30 Caledonia St Ste B
Sausalito, CA 94965-2155
Phone
(415) 332-4011
Fax
(415) 332-9114
NPI assigned
Sep 11, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 52419 CA
Dentist 122300000X 52419 CA Primary

Addresses

Primary practice location

30 Caledonia St Ste B
Sausalito, CA 94965-2155

Mailing address

30 Caledonia St Ste B
Sausalito, CA 94965-2155
Phone (415) 332-4011

Other practice location 1

3826 Seven Trees Blvd
suite # 300
San Jose, CA 95111-4478
Phone (408) 363-6464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Danielle Abramo Levi DDS Inc General Practice Past Accepting new patients
Shahram Ameripour DDS Inc. General Practice PastSince Oct 2, 2022 Accepting new patients

Organizations & group practices 2

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": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1376893040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CALEDONIA ST STE B",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652155",
            "telephone_number": "415-332-4011",
            "fax_number": "415-332-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CALEDONIA ST STE B",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949652155",
            "telephone_number": "415-332-4011",
            "fax_number": "415-332-9114"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3826 Seven Trees Blvd",
            "address_2": "suite # 300",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951114478",
            "country_code": "US",
            "telephone_number": "408-363-6464",
            "fax_number": "408-363-6463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEVI",
        "first_name": "DANIELLE",
        "middle_name": "ABRAMO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "52419",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "52419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sausalito, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.