Active NPI
Martin D. Levine, M.D.
- Neurology Physician
- Van Nuys, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- G21066
- Practice address
- 6815 Noble Ave Ste 105
Van Nuys, CA 91405-6514 - Phone
- (818) 781-6684
- NPI assigned
- Jul 12, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Specialist | 174400000X | G021066 | CA | |
| Neurology Physician | 2084N0400X | G21066 | CA | Primary |
Addresses
Primary practice location
6815 Noble Ave Ste 105
Van Nuys, CA 91405-6514
Mailing address
PO Box 5486
Orange, CA 92863-5486
Phone (818) 550-0900
Other practice location 1
5901 W Olympic Blvd Ste 204
Los Angeles, CA 90036-4663
Phone (323) 938-2300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G210660 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G021066 | CA | MD | Specialist |
| G21066 | CA | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Encino Neurological Medical Group | Specialist | Current | Accepting new patients |
| Conservative Care Specialists Medical Group Inc | Current | Accepting new patients |
Locations
16311 Ventura Blvd
Ste 680
Encino, CA 91436
Phone (310) 246-0702
5901 W Olympic Blvd
Ste 204
Los Angeles, CA 90036
Phone (323) 938-2300
6815 Noble Ave
Ste 105
Van Nuys, CA 91405
Phone (818) 781-6684
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Specialist
- Encino, CA
- NPI 1700884871
-
- Pain Medicine (Anesthesiology) Physician
- Van Nuys, CA
- NPI 1861539280
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1669470860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5486",
"city": "ORANGE",
"state": "CA",
"postal_code": "928635486",
"telephone_number": "818-550-0900",
"fax_number": "818-550-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6815 NOBLE AVE STE 105",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914056514",
"telephone_number": "818-781-6684"
}
],
"practiceLocations": [
{
"address_1": "5901 W Olympic Blvd Ste 204",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900364663",
"country_code": "US",
"telephone_number": "323-938-2300",
"fax_number": "323-938-2330",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEVINE",
"first_name": "MARTIN",
"middle_name": "D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G021066",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G21066",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G210660",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Van Nuys, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.