Charles T Levitan MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G25942 Issued in CA

Legal business name

CHARLES T LEVITAN MD INC

Practice address

729 E Chapman Avenue
Orange, CA 92866

Phone

(714) 539-2912

Fax

(714) 997-9333

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Charles T Levitan, MD

Title

Owner President

Phone

(714) 539-2912

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831136365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 E CHAPMAN AVENUE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "714-539-2912",
            "fax_number": "714-997-9333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729 E CHAPMAN AVENUE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92866",
            "telephone_number": "714-539-2912",
            "fax_number": "714-997-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T LEVITAN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEVITAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "714-539-2912",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G25942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G259423",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Orange, CA
• Providers in Orange, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.