NPIMap

Organization Active NPI

Sergio Levenzon M.D. Inc.

Doing business as Main Street Prenatal Medical Clinic

  • Specialist
  • Santa Ana, CA
National Provider Identifier
1972753515
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A30834 Issued in CA
Legal business name
SERGIO LEVENZON M.D. INC.
Doing business as
Main Street Prenatal Medical Clinic
Practice address
520 N Main St
Suite 100
Santa Ana, CA 92701-4623
Phone
(714) 953-4242
Fax
(714) 953-4366
NPI assigned
Sep 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Sergio Levenzon, M.D.
Title
President of Corporation
Phone
(714) 953-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A30834 CA Primary

Addresses

Primary practice location

520 N Main St
Suite 100
Santa Ana, CA 92701-4623

Mailing address

520 N Main St
Suite 100
Santa Ana, CA 92701-4623
Phone (714) 953-4242

Other names 1

  • MAIN STREET PRENATAL MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

520 N Main St
Ste 100
Santa Ana, CA 92701
Phone (714) 953-4242

NPI Registry JSON

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1972753515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014623",
            "telephone_number": "714-953-4242",
            "fax_number": "714-953-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MAIN ST",
            "address_2": "SUITE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014623",
            "telephone_number": "714-953-4242",
            "fax_number": "714-953-4366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERGIO LEVENZON M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-19",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "LEVENZON",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "714-953-4242",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A30834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MAIN STREET PRENATAL MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.