Active NPI
Paul Damian Cox, M.D.
- Psychiatry Physician
- Davis, CA
National Provider Identifier
1790769834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G072748
- Practice address
- 1712 Picasso Ave Ste D
Davis, CA 95618-0546 - Phone
- (530) 297-7500
- Fax
- (530) 297-7751
- NPI assigned
- Dec 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G072748 | CA | Primary |
Addresses
Primary practice location
1712 Picasso Ave Ste D
Davis, CA 95618-0546
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 006727480 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 8, 2017 through Aug 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G072748 | CA | MD | Psychiatry Physician |
| 72748 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine M.D. Professional Corporation | Psychiatry | Past | Accepting new patients |
| Mark David Levine, MD Burlingame PC | Psychiatry | Past | Accepting new patients |
| Mark David Levinem MD Sunnyvale PC | Psychiatry | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
- Psychiatry Physician
- Sunnyvale, CA
- NPI 1538385943
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522108800000",
"number": "1790769834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "916-576-7900",
"fax_number": "916-285-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 PICASSO AVE STE D",
"city": "DAVIS",
"state": "CA",
"postal_code": "956180546",
"telephone_number": "530-297-7500",
"fax_number": "530-297-7751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COX",
"first_name": "PAUL",
"middle_name": "DAMIAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-02",
"last_updated": "2018-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G072748",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "006727480",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.