DR. JACK LEVIN (NPI# 1780768150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780768150 |
| Entity Type | Individual |
| Full Name | DR. JACK LEVIN |
| Credential | M.D. |
| Practice Address |
4150 Clement St San Francisco CA 94121-1545 |
| Practice Telephone | 4157506913 |
| Practice Fax Number | 4158312506 |
| Mailing Telephone | 4157506913 |
| Mailing Fax Number | 4158312506 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0000X |
Internal Medicine Specialization: Hematology |
G49033 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063634434 | Jack N Levin | Allergy & Immunology | 1970 Laver Ct # 2, Los Altos, CA 94024-6767 | 2007-05-03 |
| 1083999338 | Jack Brian Levin | Social Worker | 800 W Cummings Park, Suite 3000, Woburn, MA 01801-6372 | 2011-10-19 |
| 1376561381 | Jack Levin | Emergency Medicine | 3998 Red Lion Rd, Philadelphia, PA 19114-1436 | 2006-07-17 |
| Street Address |
4150 CLEMENT ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407850910 | Jeffrey Michael Zimmet | Internal Medicine | 4150 Clement St, San Francisco Va Medical Center, San Francisco, CA 94121-1545 | 2005-06-13 |
| 1386243954 | Jennifer Malcolm | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-23 |
| 1952908915 | Edmund Frank Lee | Social Worker | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-10-02 |
| 1982210332 | Nitya Simon | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-21 |
| 1063028959 | Man Lung Wu | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-16 |
| 1477167450 | Harold Hubert Burns IIi | Nurse Practitioner | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-09-07 |
| 1023621356 | Tishzly Rea Resuello | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-26 |
| 1740891530 | Shirley Shan | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-14 |
| 1790396448 | Nancy Kong | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-14 |
| 1972114833 | Theora Canonica | Pharmacist | 4150 Clement St, San Francisco, CA 94121-1563 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 207RH0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology |
| An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023271350 | Gallia Georgette Levy | Internal Medicine | 505 Parnassus Ave # 1286, Box 1270, San Francisco, CA 94143-2204 | 2008-07-07 |
| 1558431122 | Regents of The University of California | Internal Medicine | 505 Parnassus Ave, San Francisco, CA 94143-0120 | 2006-11-09 |
| 1801822499 | Katherine K. Matthay | Internal Medicine | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2006-06-24 |
| 1326013442 | University of California Sfgh Medical Group | Internal Medicine | 1001 Potrero Avenue, Bldg 80 Ward 83, San Francisco, CA 94110-3518 | 2006-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497174262 | Caitlin O'neill | Internal Medicine | 1441 Eastlake Ave # Nor3470, Los Angeles, CA 90089-1029 | 2014-04-09 |
| 1093154841 | Stephen H. Embury | Internal Medicine | 108 Eagle Trace Dr, Half Moon Bay, CA 94019-2286 | 2013-06-14 |
| 1528308897 | Richard J Lewis | Internal Medicine | 902 Brockton Ln, Ventura, CA 93001-3864 | 2013-02-25 |
| 1033341672 | Abdullah Ladha | Internal Medicine | 1441 Eastlake Ave Ntt3459, Los Angeles, CA 90089-0001 | 2009-08-16 |
| 1225285547 | John Reynolds | Internal Medicine | 7719 Alverstone Ave, Los Angeles, CA 90045-1446 | 2008-08-19 |
| 1205098498 | Waheed Murad | Internal Medicine | 27433 Lovettsville Ln, Temecula, CA 92591-2542 | 2008-06-27 |
| 1659547487 | Noah Merrill Merin | Internal Medicine | 8700 Beverly Blvd # Ac1046, West Hollywood, CA 90048 | 2008-05-01 |
| 1609918556 | Michaela Liedtke | Internal Medicine | 875 Blake Wilbur, Stanford, CA 94305 | 2007-02-13 |
| 1790827640 | Jason Gotlib | Internal Medicine | 875 Blake Wilbur Dr Rm 2327b, Palo Alto, CA 94304-2205 | 2007-02-13 |
| 1083751358 | Robert Chen | Internal Medicine | 2646 Lake View Ave, Los Angeles, CA 90039-4021 | 2007-01-30 |
| Find all providers with the same taxonomy | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
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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.