Organization Active NPI

Ronald M Levin MD Inc

  • Anesthesiology Physician
  • La Mesa, CA
National Provider Identifier
1437706124
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
RONALD M LEVIN MD INC
Practice address
8881 Fletcher Pkwy Ste 100
La Mesa, CA 91942-3128
Phone
(619) 698-0930
Fax
(619) 698-3093
NPI assigned
Aug 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Authorized official

Name
Ronald Malcolm Levin, MDNPI 1497756290
Title
President
Phone
(858) 382-5689

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

8881 Fletcher Pkwy Ste 100
La Mesa, CA 91942-3128

Mailing address

8158 Santaluz Village GRN N
San Diego, CA 92127-2520
Phone (858) 382-5689

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040121001084 CA Part B Supplier - Clinic/Group Practice 6103728167 Receives reassigned benefits from 1 practitioner
Practice locations: La Mesa, CA; Murrieta, CA; Poway, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1566172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1437706124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8158 SANTALUZ VILLAGE GRN N",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921272520",
            "telephone_number": "858-382-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8881 FLETCHER PKWY STE 100",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423128",
            "telephone_number": "619-698-0930",
            "fax_number": "619-698-3093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD M LEVIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-19",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "MALCOLM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-382-5689",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.