Organization Active NPI

Jody Levy MD a Professional Corporation

  • Internal Medicine Physician
  • Tarzana, CA
National Provider Identifier
1609199157
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C41413 Issued in CA
Legal business name
JODY LEVY MD A PROFESSIONAL CORPORATION
Practice address
18370 Burbank Blvd
Suite 701
Tarzana, CA 91356-2823
Phone
(818) 705-1995
NPI assigned
Mar 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Authorized official

Name
Jody Dru Levy, MD
Title
President
Phone
(818) 705-1958

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C41413 CA Primary

Addresses

Primary practice location

18370 Burbank Blvd
Suite 701
Tarzana, CA 91356-2823

Mailing address

18370 Burbank Blvd
Suite 701
Tarzana, CA 91356-2823
Phone (818) 705-1995

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1609199157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE 701",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562823",
            "telephone_number": "818-705-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18370 BURBANK BLVD",
            "address_2": "SUITE 701",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562823",
            "telephone_number": "818-705-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JODY LEVY MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-11",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "JODY",
        "authorized_official_middle_name": "DRU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-705-1958",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C41413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.