Individual provider Active NPI

Dean Brian Levitan, MD

  • Obstetrics & Gynecology Physician
  • Visalia, CA
National Provider Identifier
1528014685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
G47194 Issued in CA
Practice address
1700 S Court St
Suite B
Visalia, CA 93277-4929
Phone
(559) 741-1202
Fax
(559) 741-0123
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 G47194 CA Primary

Addresses

Primary practice location

1700 S Court St
Suite B
Visalia, CA 93277-4929

Mailing address

1700 S Court St
Suite B
Visalia, CA 93277-4929
Phone (559) 741-1202

Other identifiers 1

IdentifierTypeStateIssuer
00G471940MedicaidCA

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
I20110119001063 CA Practitioner - Obstetrics/Gynecology 1254529985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pennsylvania State University College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Visalia Womens Specialty Medical Group Inc 3 clinicians

Practice addresses (Care Compare)

1700 S Court St
Suite B
Visalia, CA 93277-4931
Phone (559) 741-1202

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47194CAMDDentist
G47194CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 9

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaweah Health Medical CenterVisalia, CA, CCN 050057 Hospital Corporate Director Feb 9, 2024
Kaweah Health Rehabilitation HospitalVisalia, CA, CCN 05T057 Hospital Corporate Director Feb 9, 2024
Kaweah Health Mental Health HospitalVisalia, CA, CCN 05S057 Hospital Corporate Director Feb 9, 2024
Kaweah Health Skilled Nursing CenterVisalia, CA, CCN 555396 Skilled nursing facility Operational/Managerial Control
Managing Control - Governing Body
Adp of the SNF
Feb 9, 2024
Feb 9, 2024
Feb 9, 2024
Kaweah Health Home HealthVisalia, CA, CCN 057255 Home health agency Corporate Director Feb 9, 2024
Kaweah Health HospiceVisalia, CA, CCN 051748 Hospice Corporate Director Feb 9, 2024
Kaweah Health Lindsay ClinicLindsay, CA, CCN 058649 Rural health clinic Corporate Director Feb 9, 2024
Kaweah Health Tulare ClinicTulare, CA, CCN 058717 Rural health clinic Corporate Director Feb 9, 2024
Kaweah Health Valencia ClinicWoodlake, CA, CCN 058734 Rural health clinic Operational/Managerial Control Feb 9, 2024

Owned or controlled facilities with NPI records 9

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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.

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528014685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-741-1202",
            "fax_number": "559-741-0123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-741-1202",
            "fax_number": "559-741-0123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVITAN",
        "first_name": "DEAN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G47194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G471940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.