Individual provider Active NPI

Caroline Delaine Levanovic, PA-C

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1467317172
Registry record updated Feb 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA67406 Issued in CA
Practice address
9889 Magnolia Ave Ste a
Riverside, CA 92503-3581
Phone
(951) 525-3548
NPI assigned
Dec 16, 2025
Last updated
Feb 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA67406 CA Primary

Addresses

Primary practice location

9889 Magnolia Ave Ste a
Riverside, CA 92503-3581

Mailing address

31938 Temecula Pkwy # 337
Temecula, CA 92592-6810

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260527000697 CA Practitioner - Physician Assistant 3173093531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Dermatology and Skin Cancer SpecialistsGroup PAC ID 3678702206, 20 clinicians

Practice addresses (Care Compare)

9889 Magnolia Ave
Suite a
Riverside, CA 92503-3581
Phone (951) 525-3548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA67406CAMDPhysician Assistant

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771113600000",
    "number": "1467317172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31938 TEMECULA PKWY # 337",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 MAGNOLIA AVE STE A",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033581",
            "telephone_number": "951-525-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVANOVIC",
        "first_name": "CAROLINE",
        "middle_name": "DELAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-12-16",
        "last_updated": "2026-02-15",
        "certification_date": "2026-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA67406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.