Organization Active NPI

Stanley D Levine, MD a Professional Corporation

  • Rural Acute Care Hospital
  • Sonoma, CA
National Provider Identifier
1841525532
Registry record updated Oct 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
C217632 Issued in CA
Legal business name
STANLEY D LEVINE, MD A PROFESSIONAL CORPORATION
Practice address
20760 Hyde Rd
Sonoma, CA 95476-9588
Phone
(707) 939-0336
Fax
(707) 938-8505
NPI assigned
Oct 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2009

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

Authorized official

Name
Dr. Stanley David Levine, M.D.
Title
President
Phone
(707) 939-0336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X C217632 CA Primary

Addresses

Primary practice location

20760 Hyde Rd
Sonoma, CA 95476-9588

Mailing address

20760 Hyde Rd
Sonoma, CA 95476-9588
Phone (707) 939-0336

Other identifiers 1

IdentifierTypeStateIssuer
00C217632MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1255392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255392000000",
    "number": "1841525532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20760 HYDE RD",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954769588",
            "telephone_number": "707-939-0336",
            "fax_number": "707-938-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20760 HYDE RD",
            "city": "SONOMA",
            "state": "CA",
            "postal_code": "954769588",
            "telephone_number": "707-939-0336",
            "fax_number": "707-938-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY D LEVINE, MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-13",
        "last_updated": "2009-10-13",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-939-0336",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "CA",
            "license": "C217632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C217632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonoma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2009; 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.