Individual provider Active NPI

Yolanda Belen Levchenko, RDHAP

  • Dental Hygienist
  • Redondo Beach, CA
National Provider Identifier
1952779068
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
583 Issued in CA
Practice address
2401 Alvord LN
Redondo Beach, CA 90278-5101
Phone
(424) 400-1187
NPI assigned
Sep 4, 2015
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 583 CA Primary
Dental Hygienist 124Q00000X 25870 CA

Addresses

Primary practice location

2401 Alvord LN
Redondo Beach, CA 90278-5101

Mailing address

2401 Alvord LN
Redondo Beach, CA 90278-5101
Phone (424) 400-1187

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
583CAMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1952779068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 ALVORD LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785101",
            "telephone_number": "424-400-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 ALVORD LN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902785101",
            "telephone_number": "424-400-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVCHENKO",
        "first_name": "YOLANDA",
        "middle_name": "BELEN",
        "name_prefix": "Ms.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "583",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "25870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.