Active NPI
Stephen M Levine, MD
- Neurological Surgery Physician
- North Hollywood, CA
National Provider Identifier
1497846687
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Feb 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 00G21183
- Practice address
- 12343 Erwin St
North Hollywood, CA 91606-4613 - Phone
- (760) 243-9316
- Fax
- (818) 761-9847
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 00G21183 | CA | Primary |
| Neurodevelopmental Disabilities Physician | 2084P0005X | 00G21183 | CA | |
| General Practice Physician | 208D00000X | 00G21183 | CA |
Addresses
Primary practice location
12343 Erwin St
North Hollywood, CA 91606-4613
Mailing address
12343 Erwin St
North Hollywood, CA 91606-4613
Phone (760) 243-9316
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G211830 | Medicaid | CA |
Other names 1
- Dr. S. M Levine
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00G21183 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 21St Century Nursing Services Inc. | Past | Accepting new patients | |
| Best Hospice Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Montebello, CA
- NPI 1073934709
-
- Community Based Hospice Care Agency
- Chatsworth, CA
- NPI 1295141281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208822400000",
"number": "1497846687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12343 ERWIN ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064613",
"telephone_number": "760-243-9316",
"fax_number": "818-761-9847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12343 ERWIN ST",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064613",
"telephone_number": "760-243-9316",
"fax_number": "818-761-9847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "STEPHEN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2008-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "00G21183",
"primary": true
},
{
"code": "2084P0005X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurodevelopmental Disabilities",
"state": "CA",
"license": "00G21183",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "CA",
"license": "00G21183",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G211830",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "S.",
"last_name": "LEVINE",
"middle_name": "M",
"prefix": "DR.",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.