Individual provider Active NPI

Marc Jeffry Lebovits, M.D.

  • Specialist
  • Oceanside, CA
National Provider Identifier
1629021704
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G030908 Issued in CA
Practice address
3909 Waring Rd Ste a
Oceanside, CA 92056-4455
Phone
(760) 726-2440
Fax
(760) 726-0644
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G030908 CA Primary

Addresses

Primary practice location

3909 Waring Rd Ste a
Oceanside, CA 92056-4455

Mailing address

3909 Waring Rd Ste a
Oceanside, CA 92056-4455
Phone (760) 420-0725

Other identifiers 1

IdentifierTypeStateIssuer
8120218OtherCAMEDICAL

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
G030908CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1629021704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3909 WARING RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564455",
            "telephone_number": "760-420-0725",
            "fax_number": "760-726-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3909 WARING RD STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920564455",
            "telephone_number": "760-726-2440",
            "fax_number": "760-726-0644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBOVITS",
        "first_name": "MARC",
        "middle_name": "JEFFRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G030908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "8120218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; 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.