Active NPI
Wendy Jo Levin, MD
- Hematology & Oncology Physician
- San Diego, CA
National Provider Identifier
1649360595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- A72488
- Practice address
- 10646 Science Center Dr
CB10
San Diego, CA 92121-1150 - Phone
- (858) 622-8019
- Fax
- (877) 481-5208
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD00039665 | WA | |
| Hematology & Oncology Physician | 207RH0003X | A72488 | CA | Primary |
Addresses
Primary practice location
10646 Science Center Dr
CB10
San Diego, CA 92121-1150
Mailing address
PO Box 8470
Rancho Santa Fe, CA 92067-8470
Phone (858) 756-7976
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280200 | Other | INTERNAL ID-MOTOR VEHICLE ID | |
| 8424319 | Medicaid | WA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| A72488 | CA | MD | Clinical Cardiac Electrophysiology Physician |
| MD00039665 | WA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225411200000",
"number": "1649360595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8470",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920678470",
"telephone_number": "858-756-7976",
"fax_number": "877-481-5208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10646 SCIENCE CENTER DR",
"address_2": "CB10",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211150",
"telephone_number": "858-622-8019",
"fax_number": "877-481-5208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVIN",
"first_name": "WENDY",
"middle_name": "JO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2008-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00039665",
"primary": false
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "CA",
"license": "A72488",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNAL ID-MOTOR VEHICLE ID",
"identifier": "280200",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8424319",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.