Individual provider Active NPI

Elise Rosen-Levin, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Palo Alto, CA
National Provider Identifier
1902821333
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
G48805 Issued in CA
Practice address
1351 Dana Ave
Palo Alto, CA 94301-3114
Phone
(650) 269-7708
NPI assigned
Jul 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X G48805 CA Primary

Addresses

Primary practice location

1351 Dana Ave
Palo Alto, CA 94301-3114

Mailing address

1351 Dana Ave
Palo Alto, CA 94301-3114
Phone (650) 269-7708

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
I20100107000575 CA Practitioner - PathologyPractitioner - Nuclear Medicine 8820139249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Nuclear Medicine
Education
Stanford University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western LaboratoriesGroup PAC ID 2769388776, 8 clinicians

Practice addresses (Care Compare)

2000 Mowry Ave
Fremont, CA 94538-1716
Phone (810) 797-1111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G48805CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alameda Health Partners, Inc. Current Accepting new patients
Western Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Mar 4, 2017 Accepting new patients
Western Laboratories Anatomic Pathology & Clinical Pathology Current Accepting new patients
Western Laboratories Anatomic Pathology & Clinical Pathology CurrentSince Mar 4, 2017 Accepting new patients

Locations

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

5700 Southwyck Blvd
Toledo, OH 43614

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902821333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 DANA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013114",
            "telephone_number": "650-269-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 DANA AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943013114",
            "telephone_number": "650-269-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSEN-LEVIN",
        "first_name": "ELISE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "G48805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

Verify at the official NPI Registry.