MEDICARE: DAVID G. LEVINSOHN M.D.

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	207X00000X	Orthopaedic Surgery Physician	036153611	IL
2	207X00000X	Orthopaedic Surgery Physician	A67296	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	00A672960	OTHER	CA	BLUE SHIELD

General Provider Information

NPI Number	:	1174532121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID G. LEVINSOHN M.D.

Provider Business Mailing Address
First Line	:	2299 POST ST STE 103
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3443
Country	:	US
Telephone Number	:	415-923-0992
Fax Number	:	415-923-1036

Provider Business Practice Location Address
First Line	:	141 CAMINO ALTO STE 2
Second Line	:
City	:	MILL VALLEY
State	:	CA
Zip	:	94941-2219
Country	:	US
Telephone Number	:	415-388-5100
Fax Number	:	415-388-5155

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

Provider Enumeration Date	:	08/07/2006
Last Update Date	:	09/08/2025

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