Active NPI
Lynn Lucille Leventis, M.D.
- Obstetrics & Gynecology Physician
- Bishop, CA
National Provider Identifier
1477501203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD0000026240
- Practice address
- 153 Pioneer LN Ste B
Bishop, CA 93514-2517 - Phone
- (760) 873-2602
- Fax
- (760) 873-2750
- NPI assigned
- May 4, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD0000026240 | TN | Primary |
Addresses
Primary practice location
153 Pioneer LN Ste B
Bishop, CA 93514-2517
Mailing address
153 Pioneer LN
Suite C
Bishop, CA 93514-2517
Phone (760) 873-2602
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A91290 | CA | MD | Obstetrics & Gynecology Physician |
| MD0000026240 | TN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Feather River Hospital | Past | Accepting new patients | |
| Lara Jeanine Arndal, M.D. | Obstetrics & Gynecology | Past | Accepting new patients |
| Magella Medical Group, Inc. | Obstetrics & Gynecology | Past | Accepting new patients |
Organizations & group practices 3
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.
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- NPI 1528406329
Obstetrics & Gynecology
-
- Maternal & Fetal Medicine Physician
- Long Beach, CA
- NPI 1376640086
Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333670400000",
"number": "1477501203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 PIONEER LN",
"address_2": "SUITE C",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142517",
"telephone_number": "760-873-2602",
"fax_number": "760-873-2750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 PIONEER LN STE B",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142517",
"telephone_number": "760-873-2602",
"fax_number": "760-873-2750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVENTIS",
"first_name": "LYNN",
"middle_name": "LUCILLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-04",
"last_updated": "2012-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TN",
"license": "MD0000026240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.