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

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

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• 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.