Roy Levin, M.D.
Individual provider Active NPI Emergency Medicine Physician · Clovis, CA
NPI 1770528002 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1770528002
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- A24866 (CA)
- Practice address
- Clovis Urgent Care Medical Center
2200 Clovis Ave
Clovis, CA 93612 - Phone
- (559) 294-1162
- NPI assigned
- Jun 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A24866 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quantum Healthcare Medical Associates Inc. | Past |
Accepting new patients | |
| Intercare Medical Group, Inc. | Past | Accepting new patients | |
| Clovis Urgent Care Medical Center | Past | Accepting new patients | |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | A24866 | CA | Yes |
Addresses
Primary practice location
Clovis Urgent Care Medical Center
2200 Clovis Ave
Clovis, CA 93612
Mailing address
PO Box 576194
Modesto, CA 95357-6194
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A248660 | Medicaid | CA |
Other providers in Clovis, CA
- Genna M. Leon
- Miguel Angel Leon
- Carly Bren Lepp
- Kyla Ann Leslie
- Carol R Lesser
- Darren Lew
- Shelley Lew
- Mara Martin Lewis
- Tyiesha Moha Lewis
- Perla Leyva
All providers in Clovis, CA · Emergency Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.