Active NPI
Mark David Levine MD Nursing Services PC
- Psychiatric/Mental Health Clinical Nurse Specialist
- Pleasanton, CA
National Provider Identifier
1639540396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Clinical Nurse Specialist
- Legal business name
- MARK DAVID LEVINE MD NURSING SERVICES PC
- Practice address
- 5776 Stoneridge Mall Rd
Suite 300
Pleasanton, CA 94588-2832 - Phone
- (855) 427-2778
- Fax
- (916) 285-0338
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark David Levine, M.D.
- Title
- Ceo
- Phone
- (916) 576-7898
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Clinical Nurse Specialist | 364SP0808X | Primary |
Addresses
Primary practice location
5776 Stoneridge Mall Rd
Suite 300
Pleasanton, CA 94588-2832
Mailing address
3835 N Freeway Blvd
Suite 100
Sacramento, CA 95834-1928
Phone (916) 576-7898
National Provider Directory
National Provider DirectoryLocations
5776 Stoneridge Mall Rd
Ste 300
Pleasanton, CA 94588
Phone (925) 397-0411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1444176000000",
"number": "1639540396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD",
"address_2": "SUITE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341928",
"telephone_number": "916-576-7898",
"fax_number": "916-285-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5776 STONERIDGE MALL RD",
"address_2": "SUITE 300",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945882832",
"telephone_number": "855-427-2778",
"fax_number": "916-285-0338"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK DAVID LEVINE MD NURSING SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2015-10-07",
"last_updated": "2015-10-07",
"status": "A",
"authorized_official_last_name": "LEVINE",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-576-7898",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "364SP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.