FRED LEVINE M.D., PH.D.
NPI 1154493476
Medical Genetics - Clinical Genetics (M.D.) in San Diego, CA

Q: What is Fred Levine's NPI number?

The NPI number for Fred Levine is 1154493476. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Q: What is Fred Levine's specialty?

The primary specialty registered for this NPI is Medical Genetics, specializing in Clinical Genetics (M.D.), with taxonomy code 207SG0201X.

Q: When was this NPI record last updated?

The NPPES record for Fred Levine was last updated on May 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 14, 2006PECOS Enrolled

7910 FROST ST, STE 200, SAN DIEGO, CA 92123(619) 543-7800 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Fred Levine M.d., Ph.d. NPPES

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

FRED LEVINE M.D., PH.D. (NPI 1154493476) is an individual clinical genetics (m.d.) provider in San Diego, California, licensed in California (G65341) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154493476

Entity TypeIndividualMale

Primary Taxonomy207SG0201X

Provider Legal NameFRED LEVINECredential: M.D., PH.D.

Location Address7910 FROST ST, STE 200San Diego, CA 92123-2771

Mailing Address3020 Childrens Way, Mc5110San Diego, CA 92123-4223 · (619) 543-7800

Phone(619) 543-7800

Sole ProprietorNo

Enumeration DateNovember 14, 2006

Last NPPES UpdateMay 9, 2014

✔ NPI 1154493476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMedical Genetics · Clinical Genetics (M.D.)Allopathic & Osteopathic Physicians

Taxonomy Code207SG0201X

License✔ Licensed in CA · G65341

Definition

A clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders.

Also ListedMedical Genetics · Clinical Biochemical GeneticsTaxonomy 207SG0202X · License G65341 (CA)

7910 FROST ST, San Diego, CA 92123

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Other Identifiers 1

Medicaid00G653410CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.