MEDICARE: KARISSA LEVATO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula		CA

General Provider Information

NPI Number	:	1043156284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARISSA LEVATO

Provider Business Mailing Address
First Line	:	5150 N 6TH ST STE 129
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7520
Country	:	US
Telephone Number	:	559-578-0306
Fax Number	:	559-578-0306

Provider Business Practice Location Address
First Line	:	5150 N 6TH ST STE 129
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93710-7520
Country	:	US
Telephone Number	:	559-578-0306
Fax Number	:	559-578-0306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/28/2026
Last Update Date	:	04/28/2026

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Directions to “ KARISSA LEVATO ” Practice Location

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