JEREMY ETHAN LEVENSON (NPI# 1659304590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659304590 |
| Entity Type | Individual |
| Full Name | JEREMY ETHAN LEVENSON |
| Credential | M.D. |
| Practice Address |
2125 Arizona Ave Santa Monica CA 90404-1337 |
| Mailing Address |
6654 Kentwood Bluffs Dr Los Angeles CA 90045-1259 |
| Practice Telephone | 3108298701 |
| Practice Fax Number | 3103154062 |
| Mailing Telephone | 3102164476 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | A22502 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A225020 | 05 | |
| CA | RAILROAD MEDICARE | P00178725 | 01 |
| Street Address |
2125 ARIZONA AVE |
| City | SANTA MONICA |
| State | CA |
| Zip Code | 90404-1337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114950060 | Howard R Krauss | Ophthalmology | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2006-07-07 |
| 1124639018 | Neil A Martin Md Inc | Neurological Surgery | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2020-08-13 |
| 1982240461 | Grace Natalie Mcmanus | Audiologist | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2019-11-20 |
| 1821649518 | Natasha Cueto | Nurse Practitioner | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2019-09-24 |
| 1083193072 | Sheila Rachel Melekh-shalom | Audiologist | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2018-08-09 |
| 1144656430 | Katherine Andrea Araque Triana | Internal Medicine | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2013-09-19 |
| 1124361712 | Akanksha Sharma | Internal Medicine | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2013-04-01 |
| 1770816464 | Omid Benjamin Mehdizadeh | Otolaryngology | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2009-09-12 |
| 1578707642 | Garni Barkhoudarian | Neurological Surgery | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2009-04-20 |
| 1992975171 | Sheila Kaye Segal | Marriage & Family Therapist | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2008-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306453352 | Jasmine Burton | Physical Therapist | 1714 17th Street, Santa Monica, CA 90404 | 2020-09-24 |
| 1003431685 | Cintia Haydee Ctibor | Behavior Technician | 1869 9th Street, Santa Monica, CA 90404 | 2020-06-10 |
| 1073137261 | Sydney Kristine Valerio | Counselor | 1869 9th St, Santa Monica, CA 90404 | 2020-06-03 |
| 1710507082 | James Gilbert Cunningham | Marriage & Family Therapist | 1708 Olympic Blvd, Santa Monica, CA 90404 | 2020-04-16 |
| 1841763687 | Crystal Monique Mckinley X | Counselor | 1865 9th St, Santa Monica, CA 90404 | 2019-01-04 |
| 1952872749 | Cesar O Munoz | Licensed Vocational Nurse | 1865 9th St., Santa Monica, CA 90404 | 2018-12-06 |
| 1023596574 | Joseph J Pinzone Md Inc | Internal Medicine | 2001 Santa Monica Blvd Ste 1190, Santa Monica, CA 90404 | 2018-08-06 |
| 1548763535 | Alan Rubenstein Dds Inc | Dentist | 1260 15th St., #703, Santa Monica, CA 90404 | 2018-03-15 |
| 1669993382 | Aaron Wilson | Counselor | 1453 16th Street, Santa Monica, CA 90404 | 2017-07-03 |
| 1922472471 | Chianni Lin | Acupuncturist | 2222 Santa Monica Blvd, Ste. 105, Santa Monica, CA 90404 | 2015-11-20 |
| Find all providers in zip 90404 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679700181 | Akbar A Jamall | Ophthalmology | 2021 Santa Monica Blvd Ste 505e, Santa Monica, CA 90404-2158 | 2009-06-11 |
| 1134306996 | Thomas A. Hanscom, Md A Medical Corporation | Ophthalmology | 2021 Santa Monica Blvd Ste 720e, Santa Monica, CA 90404-2223 | 2008-01-23 |
| 1285825158 | William Kenneth Christian | Ophthalmology | 2001 Santa Monica Blvd Ste 985w, Santa Monica, CA 90404-2155 | 2007-08-06 |
| 1902950405 | Cynthia A. Boxrud | Ophthalmology | 2021 Santa Monica Blvd Ste 700e, Santa Monica, CA 90404-2208 | 2007-01-22 |
| 1255494480 | Louis Bernstein | Ophthalmology | 2901 Wilshire Boulevard, Suite 230, Santa Monica, CA 90403 | 2006-12-19 |
| 1851478481 | Michael Reynard | Ophthalmology | 1301 20th St Ste 260, Santa Monica, CA 90404-2052 | 2006-11-01 |
| 1609968601 | Kenneth Joseph Hoffer | Ophthalmology | 1301 20th St Ste 250, Santa Monica, CA 90404-2052 | 2006-09-28 |
| 1861414856 | Maria Braun | Ophthalmology | 1908 Santa Monica Blvd, Santa Monica, CA 90404-1927 | 2006-07-25 |
| 1205858396 | Troy Elander | Ophthalmology | 242 26th St, Santa Monica, CA 90402-2559 | 2006-07-24 |
| 1114950060 | Howard R Krauss | Ophthalmology | 2125 Arizona Ave, Santa Monica, CA 90404-1337 | 2006-07-07 |
| Find all providers in SANTA MONICA | ||||
| City | SANTA MONICA |
| Zip Code | 90404 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.