Jeremy Levenson, M.D., Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

A22502 Issued in CA

Legal business name

JEREMY LEVENSON, M.D., INC.

Practice address

11645 Wilshire Blvd
Suite 600
Los Angeles, CA 90025-1708

Phone

(310) 477-5558

Fax

(310) 477-7281

NPI assigned

Feb 14, 2007

Organization subpart

No

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

Authorized official

Name

Jeremy E Levenson, M.D.

Title

President

Phone

(310) 477-5558

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1962545863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11645 WILSHIRE BLVD",
            "address_2": "SUITE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251708",
            "telephone_number": "310-477-5558",
            "fax_number": "310-477-7281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEREMY LEVENSON, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "LEVENSON",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-477-5558",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A22502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A225020",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00178725",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jer3227 Inc.
• Jennifer Lynn Jerbi, MSW
• Jordan Ambrose Jeremiah
• Jeremy Fine,M.D. Inc
• Jeremy Fischer
• Cindy Lizabeth Jerez
• Dakisha Jerez
• Mia Alejandra Jerez
• Terry P Jerge, M.D.
• Cynthia Bearden Jernigan, PA-C

• Ophthalmology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Ophthalmology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.