LEVI CHARLES HOLLAND
NPI 1336776541
Urology in Santa Monica, CA

Q: What is Levi Holland's NPI number?

The NPI number for Levi Holland is 1336776541. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Q: What is Levi Holland's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Levi Holland was last updated on July 1, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment

1260 15TH ST STE 1200, SANTA MONICA, CA 90404(310) 794-7700 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 1, 2025, Mar 26, 2020 (2 updates tracked since 2020).

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About Levi Charles Holland NPPES

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

LEVI CHARLES HOLLAND (NPI 1336776541) is an individual urology provider in Santa Monica, California, licensed in California (A201411) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At Houston (2020).

NPPES Registry Identity

NPI1336776541

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameLEVI CHARLES HOLLAND

Location Address1260 15TH ST STE 1200Santa Monica, CA 90404-1147

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 794-7700

Sole ProprietorNo

Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 2020

Enumeration DateMarch 26, 2020

Last NPPES UpdateJuly 1, 20252 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1336776541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in CA · A201411

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1260 15TH ST STE 1200, Santa Monica, CA 90404

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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 and accepts Medicare assignment

Levi Charles Holland is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6406374545

PECOS Enrollment IDI20250513002299

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$142.39 typical visit price

range $62.96 – $187.60

Typical copayment $35.59 (range $15.74 – $46.90)

Most-billed visit code 99204

Established Patient

$77.96 typical visit price

range $20.84 – $153.61

Typical copayment $19.49 (range $5.21 – $38.40)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 19

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

MARY OLUBUKOLA FAKUNLE

Urology