Organization Active NPI

Levine Foot & Ankle Surgery

  • Foot & Ankle Surgery Podiatrist
  • Burbank, CA
National Provider Identifier
1790262590
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
A5360 Issued in CA
Legal business name
LEVINE FOOT & ANKLE SURGERY
Practice address
2701 W Alameda Ave Ste 401a
Burbank, CA 91505-4409
Phone
(818) 450-6656
Fax
(818) 484-2941
NPI assigned
Jul 24, 2018
Last updated
Jun 4, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Authorized official

Name
Patrick Levine, DPM
Title
President
Phone
(818) 450-6656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X A5360 CA Primary

Addresses

Primary practice location

2701 W Alameda Ave Ste 401a
Burbank, CA 91505-4409

Mailing address

10061 Riverside Dr # 1049
Toluca Lake, CA 91602-2560

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591228800000",
    "number": "1790262590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 RIVERSIDE DR # 1049",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916022560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 W ALAMEDA AVE STE 401A",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054409",
            "telephone_number": "818-450-6656",
            "fax_number": "818-484-2941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEVINE FOOT & ANKLE SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-450-6656",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "A5360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2020; 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.