Ernest Clayton Levister Jr., MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G018549 Issued in CA

Practice address

1738 N Waterman Ave
Suite 1
San Bernardino, CA 92404-5135

Phone

(909) 883-8683

Fax

(909) 883-4324

NPI assigned

Nov 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962577080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1738 N WATERMAN AVE",
            "address_2": "SUITE 1",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045135",
            "telephone_number": "909-883-8683",
            "fax_number": "909-883-4324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1738 N WATERMAN AVE",
            "address_2": "SUITE 1",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924045135",
            "telephone_number": "909-883-8683",
            "fax_number": "909-883-4324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVISTER",
        "first_name": "ERNEST",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G018549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pui Yi Rachael Leung, MOT
• Levelup Assisted Living LLC
• Michelle Levin-Sternberg, PH.D.
• Brenda Carroll Levin
• Shelley Jean Levin
• Robert Lewis Macon
• A'Vay Lewis
• Brandon Lewis
• Grayson James Lewis, PSY.D.
• Sara Jean Lewis

• Internal Medicine Physician in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.