ENT Medical and Surgical Care a Professional Corporation

Primary specialty

Pediatric Otolaryngology PhysicianTaxonomy code 207YP0228X

Legal business name

ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION

Practice address

100 Casa St Ste B
San Luis Obispo, CA 93405-8803

Phone

(805) 439-3250

Fax

(888) 359-6465

NPI assigned

Dec 16, 2018

Last updated

Dec 17, 2018By 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

David Jackson Levin, MDNPI 1366679516

Title

Ceo

Phone

(805) 439-3250

Specialties & licenses 6

Addresses

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.

• David Jackson Levin, M.D.

  • Otolaryngology Physician
  • San Luis Obispo, CA
  • NPI 1366679516
  Authorized official Same address or phone

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1750852810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CASA ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058803",
            "telephone_number": "805-439-3250",
            "fax_number": "888-359-6465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CASA ST STE B",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058803",
            "telephone_number": "805-439-3250",
            "fax_number": "888-359-6465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENT MEDICAL AND SURGICAL CARE A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "LEVIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JACKSON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-439-3250",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YP0228X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Pediatric Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207YS0012X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Engelman, D.O.
• Meghan Gene Englert, LMFT
• Julianna Englund, N.D., L.AC
• Nathan J Engstrom
• ENT Medical and Surgical Care
• Eric Dunlop, DO, Inc.
• Erin Parsons, D.C., Inc., a Professional Chiropractic Corporation (San Luis Obispo Chiropractic)
• Cyle Dean Erks
• Brittany Leann Erwin, RN
• Kristen Rose Escobar, NP

• Pediatric Otolaryngology Physician in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pediatric Otolaryngology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.