EDWARD LIEVANOS MD
NPI 1346700994
Student in an Organized Health Care Education/Training Program in San Francisco, CA

Active since March 20, 2019PECOS EnrolledAccepts Medicare Assignment
2425 GEARY BLVD, SAN FRANCISCO, CA 94115(415) 833-6555 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 27, 2023, Mar 20, 2019 (2 updates tracked since 2019).

About Edward Lievanos Md NPPES

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

EDWARD LIEVANOS MD (NPI 1346700994) is an individual student in an organized health care education/training program in San Francisco, California and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1346700994
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameEDWARD LIEVANOSCredential: MD
Location Address2425 GEARY BLVDSan Francisco, CA 94115-3358
Mailing Address2425 Geary BlvdSan Francisco, CA 94115-3358
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMarch 20, 2019
Last NPPES UpdateOctober 27, 20232 updates tracked since enumeration
NPI 1346700994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2425 GEARY BLVD, San Francisco, CA 94115

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

Edward Lievanos Md 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 ID2062867658
PECOS Enrollment IDI20231017003348
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.

Nurse Practitioner (Family)
2425 GEARY BLVD, PERIOPERATIVE MEDICINE CENTER - 4404A
SAN FRANCISCO, CA 94115
Pediatrics
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Pharmacist
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Nurse Practitioner (Family)
2425 GEARY BLVD, EMPLOYEE HEALTH
SAN FRANCISCO, CA 94115
Nurse Practitioner (Family)
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Nurse Anesthetist, Certified Registered
2425 GEARY BLVD, DEPT. OF ANESTHESIA
SAN FRANCISCO, CA 94115
Pharmacist
2425 GEARY BLVD
SAN FRANCISCO, CA 94115
Nurse Practitioner (Gerontology)
2425 GEARY BLVD
SAN FRANCISCO, CA 94115

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346700994, enumerated as an "individual" on March 20, 2019.

The provider is located at 2425 GEARY BLVD SAN FRANCISCO, CA 94115 and the phone number is (415) 833-6555.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.