Individual provider Active NPI

Maria Delia Leviste, M.D.

  • Specialist
  • Van Nuys, CA
National Provider Identifier
1801924873
Registry record updated Nov 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A39016 Issued in CA
Practice address
7136 Haskell Ave Ste 302
Van Nuys, CA 91406-4094
Phone
(818) 438-5464
Fax
(818) 614-9596
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A39016 CA Primary

Addresses

Primary practice location

7136 Haskell Ave Ste 302
Van Nuys, CA 91406-4094

Mailing address

6150 Paseo la Vis
Woodland Hills, CA 91367-1082
Phone (818) 438-5464

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090306000102 CA Practitioner - Internal Medicine 6901962513

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A39016CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1801924873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 PASEO LA VIS",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913671082",
            "telephone_number": "818-438-5464",
            "fax_number": "818-614-9596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7136 HASKELL AVE STE 302",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914064094",
            "telephone_number": "818-438-5464",
            "fax_number": "818-614-9596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVISTE",
        "first_name": "MARIA",
        "middle_name": "DELIA",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A39016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.