Organization Active NPI

Mark David Levine MD Nursing Services PC

  • Psychiatric/Mental Health Clinical Nurse Specialist
  • Pleasanton, CA
National Provider Identifier
1639540396
Registry record updated Oct 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0808X
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

Updated by the provider on Oct 7, 2015

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)CodeLicenseStatePrimary
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.