Russ L Levitan MD Inc

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

RUSS L LEVITAN MD INC

Practice address

10 Santa Rosa St # 201
San Luis Obispo, CA 93405-5826

Phone

(805) 544-7246

Fax

(805) 782-8097

NPI assigned

Feb 24, 2025

Last updated

Mar 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Russ L Levitan, MDNPI 1992783302

Title

President

Phone

(805) 550-0445

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Galileo Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • San Luis Obispo, CA
  • NPI 1396748547

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Russ Lloyd Levitan, MD

  • Specialist
  • San Luis Obispo, CA
  • NPI 1992783302

  Pain Medicine

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1689470122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 FILAREE WAY",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934204947",
            "telephone_number": "805-550-0445",
            "fax_number": "805-782-8097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 SANTA ROSA ST # 201",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934055826",
            "telephone_number": "805-544-7246",
            "fax_number": "805-782-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSS L LEVITAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "LEVITAN",
        "authorized_official_first_name": "RUSS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-550-0445",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Ruiz
• Natalia Luz Ruiz, P.T.
• Kimberly Rundstrom, PH.D.
• Kolette Rush, LCSW
• Jennifer Lindsay Rushlow, PSYCHIATRIC TECHNICI
• Russ R. Arjal MD, PC
• Colleen Russell, PT
• Kimberly Russell
• Traci Ruth
• Shermin Yaghoubi Rutherford, P.A.

• Pain Medicine (Anesthesiology) Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.