Active NPI
David Ryan Leavitt, B.A.
- Counselor
- Vista, CA
National Provider Identifier
1386819332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 155 W Bobier Dr
Vista, CA 92083-1901 - Phone
- (760) 630-4065
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
155 W Bobier Dr
Vista, CA 92083-1901
Mailing address
3132 Jefferson St
San Diego, CA 92110-4421
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
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300233600000",
"number": "1386819332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3132 JEFFERSON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 W BOBIER DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920831901",
"telephone_number": "760-630-4065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAVITT",
"first_name": "DAVID",
"middle_name": "RYAN",
"name_prefix": "Mr.",
"credential": "B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2011-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.