GLENN LEVINE M.D.
NPI 1003927195
Pediatrics - Pediatric Critical Care Medicine in Long Beach, CA

Q: What is Glenn Levine's NPI number?

The NPI number for Glenn Levine is 1003927195. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Q: What is Glenn Levine's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Glenn Levine was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 31, 2006PECOS Enrolled

2801 ATLANTIC AVE, 3RD FLOOR, LONG BEACH, CA 90806(562) 933-8743(562) 933-8014 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Glenn Levine M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN LEVINE M.D. (NPI 1003927195) is an individual pediatric critical care medicine provider in Long Beach, California, licensed in California (A71119) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Southwestern Medical School At Dallas (1998).

NPPES Registry Identity

NPI1003927195

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameGLENN LEVINECredential: M.D.

Location Address2801 ATLANTIC AVE, 3RD FLOORLong Beach, CA 90806-1701

Mailing Address2801 Atlantic Ave, 3rd FloorLong Beach, CA 90806-1701 · (562) 933-8743 · Fax (562) 933-8014

Phone(562) 933-8743

Fax(562) 933-8014

Sole ProprietorNo

Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1998

Enumeration DateAugust 31, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1003927195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in CA · A71119

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

2801 ATLANTIC AVE, Long Beach, CA 90806

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Glenn Levine M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880164805

PECOS Enrollment IDI20260529004103

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID C KIM M.D.

Pediatrics (Neonatal-Perinatal Medicine)