Individual provider Active NPI

Steven Edward Levenberg, DO

  • Family Medicine Physician
  • Rohnert Park, CA
National Provider Identifier
1952350381
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A5003 Issued in CA
Practice address
5300 Snyder LN
Suite a
Rohnert Park, CA 94928-2915
Phone
(707) 585-8347
Fax
(707) 585-8056
NPI assigned
May 10, 2006
Last updated
Nov 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5003 CA Primary

Addresses

Primary practice location

5300 Snyder LN
Suite a
Rohnert Park, CA 94928-2915

Mailing address

5300 Snyder LN
Suite a
Rohnert Park, CA 94928-2915
Phone (707) 585-8347

Other identifiers 1

IdentifierTypeStateIssuer
020A50030MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A5003CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Medical Group of the Redwoods Family Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1952350381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 SNYDER LN",
            "address_2": "SUITE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282915",
            "telephone_number": "707-585-8347",
            "fax_number": "707-585-8056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 SNYDER LN",
            "address_2": "SUITE A",
            "city": "ROHNERT PARK",
            "state": "CA",
            "postal_code": "949282915",
            "telephone_number": "707-585-8347",
            "fax_number": "707-585-8056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENBERG",
        "first_name": "STEVEN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020A50030",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rohnert Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.