Active NPI
Gina Levine
- Behavior Technician
- Oakland, CA
National Provider Identifier
1386248185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F8554910
- Practice address
- 400 29TH St Ste 204
Oakland, CA 94609-3547 - Phone
- (866) 523-4268
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | F8554910 | CA | Primary |
Addresses
Primary practice location
400 29TH St Ste 204
Oakland, CA 94609-3547
Mailing address
3133 Coolidge Ave
Los Angeles, CA 90066-1216
Phone (310) 463-3695
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F8554910 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606089600000",
"number": "1386248185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3133 COOLIDGE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900661216",
"telephone_number": "310-463-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 29TH ST STE 204",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093547",
"telephone_number": "866-523-4268"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-11-23",
"certification_date": "2020-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F8554910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.