NPIMap

Organization Active NPI

Bruce D. Levine, D.P.M., Professional Corporation

Doing business as Harbor Foot & Ankle Podiatric Medical Group

  • Non-Pharmacy Dispensing Site
  • San Pedro, CA
National Provider Identifier
1891176616
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
E3485 Issued in CA
Legal business name
BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION
Doing business as
Harbor Foot & Ankle Podiatric Medical Group
Practice address
1360 W 6TH St
Suite 150, West Building
San Pedro, CA 90732-3514
Phone
(310) 548-1191
NPI assigned
Jun 17, 2015
Organization subpart
Yes
Parent organization
BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Bruce D. Levine, DPMNPI 1437379583
Title
Owner
Phone
(310) 548-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X E3485 CA Primary

Addresses

Primary practice location

1360 W 6TH St
Suite 150, West Building
San Pedro, CA 90732-3514

Mailing address

2980 N Beverly Glen Cir
Suite 100
Los Angeles, CA 90077-1726
Phone (310) 943-4180

Other names 1

  • Harbor Foot & Ankle Podiatric Medical Group Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Harbor Foot and Ankle Podiatric Medical Group2 organizations share this tax ID, including this one
Part of
Harbor Foot and Ankle Podiatric Medical Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1891176616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 W 6TH ST",
            "address_2": "SUITE 150, WEST BUILDING",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323514",
            "telephone_number": "310-548-1191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BRUCE D. LEVINE, D.P.M., PROFESSIONAL CORPORATION",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-548-1191",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "E3485",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harbor Foot & Ankle Podiatric Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.