Individual provider Active NPI

Lynn Lucille Leventis, M.D.

  • Obstetrics & Gynecology Physician
  • Bishop, CA
National Provider Identifier
1477501203
Registry record updated Apr 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD0000026240 Issued in TN
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

Updated by the provider on Apr 6, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A91290CAMDObstetrics & Gynecology Physician
MD0000026240TNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew 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 PastSince Apr 1, 2000 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.

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.

Verify at the official NPI Registry.