Gary D. Levinson M.D., Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

A54580 Issued in CA

Legal business name

GARY D. LEVINSON M.D., INC.

Practice address

4282 Genesee Ave
Suite 102
San Diego, CA 92117-4946

Phone

(858) 430-1651

NPI assigned

Feb 9, 2007

Last updated

Jun 14, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Part of

Medvantx Inc

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371168000000",
    "number": "1730220831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4282 GENESEE AVE",
            "address_2": "SUITE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921174946",
            "telephone_number": "858-430-1651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY D. LEVINSON M.D., INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2007-02-09",
        "last_updated": "2013-06-14",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A54580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Garvie, M.D.
• Cassandra Garvin, DNP, FNP-BC
• Gary a Cohen MD Inc (Allergy & Asthma Prevention and Treatment Center)
• Gary a. Weissberg, M.D., Inc.
• Gary and Mary West Senior Dental Center, Inc.
• Gary J. Miller Chiropractic Inc.
• Gary L Matson DO Inc
• Gary Sneag OD Optometric Corporation
• Jay Christopher Gary, MA, MFT
• Lynn Beth Gary, LMFT

• Non-Pharmacy Dispensing Site in San Diego, CA
• Providers in San Diego, CA by specialty
• Non-Pharmacy Dispensing Site in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.