Individual provider Active NPI

John Bruce Levin, MD

  • Emergency Medicine Physician
  • Whittier, CA
National Provider Identifier
1457392193
Registry record updated Apr 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G38638 Issued in CA
Practice address
9080 Colima Rd
Whittier, CA 90605-1600
Phone
(562) 907-1565
Fax
(562) 907-1585
NPI assigned
Jun 10, 2006
Last updated
Apr 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G38638 CA Primary

Addresses

Primary practice location

9080 Colima Rd
Whittier, CA 90605-1600

Mailing address

9779 Oak Pass Rd
Beverly Hills, CA 90210-1222
Phone (310) 274-1101

Other identifiers 1

IdentifierTypeStateIssuer
00G386380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050323000582 CA Practitioner - Emergency Medicine 5597711515 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, Irvine, California College of Medicine, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gem Medical Group CorporationGroup PAC ID 3072984400, 54 clinicians

Practice addresses (Care Compare)

525 N Garfield Ave
Monterey Park, CA 91754-1202
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754-4716
Phone (877) 346-2211

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G38638CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Emergency Medical Associates, Inc Emergency Medicine CurrentSince Apr 1, 2005 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Gem Medical Group Corporation Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Past Accepting new patients
East Valley Emergency Medical Associates, Inc Emergency Medicine PastSince May 16, 2021 Accepting new patients
Michael S. Agron, M.D., Inc. Emergency Medicine Past Accepting new patients

Locations

1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900

525 N Garfield Ave
Monterey Park, CA 91754
Phone (626) 573-2222

900 S Atlantic Blvd
Monterey Park, CA 91754
Phone (626) 457-7450

9080 Colima Rd
Whittier, CA 90605
Phone (562) 907-1565

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208476800000",
    "number": "1457392193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9779 OAK PASS RD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902101222",
            "telephone_number": "310-274-1101",
            "fax_number": "310-278-2639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9080 COLIMA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906051600",
            "telephone_number": "562-907-1565",
            "fax_number": "562-907-1585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN",
        "first_name": "JOHN",
        "middle_name": "BRUCE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2008-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G38638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G386380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Whittier, CA

Sources for this page

Verify at the official NPI Registry.