Organization Active NPI

Desireelevyim MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • West Hills, CA
National Provider Identifier
1386272219
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
Legal business name
DESIREELEVYIM MD
Practice address
7320 Woodlake Ave Ste 250
West Hills, CA 91307-1495
Phone
(818) 593-2191
Fax
(818) 593-2194
NPI assigned
Mar 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

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

Authorized official

Name
Dr. Desiree Levyim, MDNPI 1497167985
Title
Owner
Phone
(818) 593-2191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0400X
Neurology with Special Qualifications in Child Neurology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084N0402X Primary

Addresses

Primary practice location

7320 Woodlake Ave Ste 250
West Hills, CA 91307-1495

Mailing address

7320 Woodlake Ave Ste 250
West Hills, CA 91307-1495
Phone (818) 593-2191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200508001552 CA Part B Supplier - Clinic/Group Practice 9537590427 Receives reassigned benefits from 1 practitioner
Practice locations: West Hills, CA

National Provider Directory

National Provider Directory

Locations

7320 Woodlake Ave
Ste 250
West Hills, CA 91307
Phone (818) 593-2191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1386272219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE STE 250",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071495",
            "telephone_number": "818-593-2191",
            "fax_number": "818-593-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7320 WOODLAKE AVE STE 250",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071495",
            "telephone_number": "818-593-2191",
            "fax_number": "818-593-2194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIREELEVYIM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-27",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "LEVYIM",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-593-2191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.