Individual provider Active NPI

Lawrence A Levy, M.D.

  • Specialist
  • Greenbrae, CA
National Provider Identifier
1780609750
Registry record updated Jan 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G23281 Issued in CA
Practice address
1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023
Phone
(415) 925-3075
Fax
(415) 925-3070
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X G23281 CA Primary

Addresses

Primary practice location

1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023

Mailing address

1300 S Eliseo Dr
Suite 104
Greenbrae, CA 94904-2023
Phone (415) 925-3075

Other identifiers 1

IdentifierTypeStateIssuer
YYY48869YMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G23281CAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
James E Shepard Mark C Lambert & Lawrence a Levy PTRS Specialist CurrentSince Jul 1, 1977 Accepting new patients

Locations

1200 S Eliseo Dr
Greenbrae, CA 94904
Phone (415) 461-9700

1300 S Eliseo Dr
Ste 100
Greenbrae, CA 94904
Phone (415) 461-7217

1300 S Eliseo Dr
Ste 104
Greenbrae, CA 94904
Phone (415) 461-7955

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263254400000",
    "number": "1780609750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 S ELISEO DR",
            "address_2": "SUITE 104",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042023",
            "telephone_number": "415-925-3075",
            "fax_number": "415-925-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S ELISEO DR",
            "address_2": "SUITE 104",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949042023",
            "telephone_number": "415-925-3075",
            "fax_number": "415-925-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVY",
        "first_name": "LAWRENCE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2010-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G23281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YYY48869Y",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.