Provider Demographics
NPI:1790705705
Name:LEVINE, ARNOLD W (MD)
Entity Type:Individual
Prefix:DR
First Name:ARNOLD
Middle Name:W
Last Name:LEVINE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 W MACARTHUR BLVD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-5641
Mailing Address - Country:US
Mailing Address - Phone:510-752-1000
Mailing Address - Fax:510-347-4712
Practice Address - Street 1:275 W MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-5641
Practice Address - Country:US
Practice Address - Phone:510-752-1000
Practice Address - Fax:510-347-4712
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG526132086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1790705705OtherMEDICARE NPI
CAZZZ99495ZMedicare PIN
CAAQ610YMedicare PIN
CAZZZ99493ZMedicare PIN
CAAQ610XMedicare PIN
CAAQ610ZMedicare PIN
CAZZZ94434ZMedicare PIN
CAA52303Medicare UPIN
CAZZZ15705ZMedicare PIN
CA00G526131Medicare PIN
CACR0889Medicare PIN
CAZZZ29924ZMedicare PIN