Bruce D Levine, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

E3485 Issued in CA

Practice address

1360 W 6TH St
150W
San Pedro, CA 90732-3514

Phone

(310) 548-1191

Fax

(310) 548-4007

NPI assigned

Apr 30, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Foot and Ankle Institute a Podiatric Surgical CenterGroup PAC ID 3971493347, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Little Co of Mary Med Ctr San Pedro Hospital, San Pedro, CA, CCN 050078

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• University Foot and Ankle Institute a Podiatric Surgical Center

  dba University Foot & Ankle Institute

  • Podiatrist
  • Santa Monica, CA
  • NPI 1912014986
  Medicare reassignment Care Compare group NPD
• Bruce D. Levine, D.P.M., Professional Corporation

  dba Harbor Foot & Ankle Podiatric Medical Group

  • Non-Pharmacy Dispensing Site
  • San Pedro, CA
  • NPI 1891176616
  NPD (past) Authorized official
• Harbor Foot and Ankle Podiatric Medical Group

  • Foot & Ankle Surgery Podiatrist
  • San Pedro, CA
  • NPI 1760832851
  NPD (past) Authorized official
• University Foot and Ankle Institute a Podiatric Surgical Center

  dba University Foot & Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • Valencia, CA
  • NPI 1881438273
  NPD
• University Foot and Ankle Institute a Podiatric Surgical Center

  • Podiatrist
  • Manhattan Beach, CA
  • NPI 1083721054
  NPD (past)
• University Foot and Ankle Institute a Podiatric Surgical Center

  dba University Foot & Ankle Institute

  • Foot & Ankle Surgery Podiatrist
  • San Pedro, CA
  • NPI 1487513156
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health System - Southern California

  dba Providence Little Company of Mary Medical Center San Pedro OBHC

  • General Acute Care Hospital
  • San Pedro, CA
  • NPI 1497241541
  Care Compare affiliation
• Providence Health System - Southern California

  dba Providence Little Company of Mary Medical Center San Pedro

  • General Acute Care Hospital
  • San Pedro, CA
  • NPI 1942247291
  Care Compare affiliation

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

{
    "created_epoch": "1177891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1437379583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "150W",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-548-1191",
            "fax_number": "310-548-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "150W",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-548-1191",
            "fax_number": "310-548-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINE",
        "first_name": "BRUCE",
        "middle_name": "D",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-30",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E3485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E34850",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Dong Lee, M.D.
• David B Legall I, MHRS
• Richard Lemberger
• Silvia Leon
• Nathaniel Leong, M.D.
• Peggy Lew
• Bernard J Li, DPT, OCS
• Rebecca Li
• Sheralyn Lieberg
• Fabiola Melissa Liendo, DDS

• Podiatrist in San Pedro, CA
• Providers in San Pedro, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.