Active NPI
Gary M. Levine, M.D.
- Diagnostic Radiology Physician
- Laguna Hills, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- G64219
- Practice address
- 24401 Calle de la Louisa Ste 200
Laguna Hills, CA 92653 - Phone
- (949) 452-7200
- NPI assigned
- Jun 8, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | G64219 | CA | Primary |
Addresses
Primary practice location
24401 Calle de la Louisa Ste 200
Laguna Hills, CA 92653
Mailing address
PO Box 51787
Los Angeles, CA 90051-6087
Phone (949) 452-7200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G642190 | Other | CA | BLUE SHIELD |
| 00G642190 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041108001301 | CA | Practitioner - Diagnostic Radiology | 7416856976 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Albany Medical College of Union University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Breast Care Specialists Medical Group Inc
Practice addresses (Care Compare)
24401 Calle de la Louisa
Suite 200
Laguna Hills, CA 92653-3624
Phone (949) 452-7200
Hospital & facility affiliations
- Memorialcare Saddleback Medical Center
- Memorialcare Orange Coast Medical Center
- Hoag Memorial Hospital Presbyterian
- Uci Health-Orange
- Providence Mission Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 55 of 100
- Quality
- 10
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G64219 | CA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breast Care Specialists Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Newport Center Radiology Associates Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Santa Ana Tustin Radiology Medical Group | Diagnostic Radiology | Past | Accepting new patients |
| Orange Coast Memorial Medical Center | Past | Accepting new patients | |
| Saddleback Memorial Medical Center | Past | Accepting new patients |
Locations
6301 S McClintock Dr
Ste 215
Tempe, AZ 85283
Phone (480) 820-6657
15500 Sand Canyon Ave
Ste 120
Irvine, CA 92618
Phone (949) 462-3999
4040 Barranca Pkwy
Ste 110
Irvine, CA 92604
Phone (949) 857-0676
24401 Health Center Dr
Laguna Hills, CA 92653
2001 Westcliff Dr
Ste 103
Newport Beach, CA 92660
Phone (714) 378-7955
1 Hoag Dr
Newport Beach, CA 92663
Phone (877) 742-4624
360 San Miguel Dr
Ste 1
Newport Beach, CA 92660
Phone (949) 365-3534
455 Old Newport Blvd
Ste 101
Newport Beach, CA 92663
Phone (949) 574-8200
Dept LA 21705
Pasadena, CA 91185
30492 Gateway Pl
Ste 100
Rancho Mission Viejo, CA 92694
1300 Avenida Vista Hermosa
Ste 180
San Clemente, CA 92673
Phone (949) 542-7700
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Laguna Hills, CA
- NPI 1992108898
CA, Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Newport Beach, CA
- NPI 1013951714
CA, Diagnostic Radiology
-
- Community/Retail Pharmacy
- Fountain Valley, CA
- NPI 1104372846
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
-
- Diagnostic Radiology Physician
- Santa Ana, CA
- NPI 1972531036
Diagnostic Radiology
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newport Beach, CA
- NPI 1518951300
Hospital
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
Hospital
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
Hospital
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
Hospital
-
- General Acute Care Hospital
- Laguna Hills, CA
- NPI 1275576381
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535068800000",
"number": "1689614224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 51787",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900516087",
"telephone_number": "949-452-7200",
"fax_number": "949-464-0720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24401 CALLE DE LA LOUISA STE 200",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "92653",
"telephone_number": "949-452-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEVINE",
"first_name": "GARY",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-08",
"last_updated": "2018-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "G64219",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G642190",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G642190",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.