Healthcare Provider Details

I. General information

NPI: 1548726003
Provider Name (Legal Business Name): JAMES BRIAN LEVENSON NP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 C ST
PATTERSON CA
95363-2701
US

IV. Provider business mailing address

200 C ST
PATTERSON CA
95363-2701
US

V. Phone/Fax

Practice location:
  • Phone: 209-722-4842
  • Fax: 209-892-5984
Mailing address:
  • Phone: 209-722-4842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71009372A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95036414
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: