LEVI CHARLES HOLLAND – Urology Physician, NPI 1336776541

LEVI CHARLES HOLLAND is a healthcare provider. based in Los angeles, California. specializing in UROLOGY. They hold a License No. A201411 (CA). The NPI Number for LEVI CHARLES HOLLAND is 1336776541

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
LEVI CHARLES HOLLAND
NPI
1336776541
Phone
Not provided
Address
5767 W CENTURY BLVD STE 400
Enumeration Date
26 March 2020
Last Update Date
1 July 2025

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
3107947700
Graduation Year
2020 (6 years ago)
PAC ID
6406374545
Group Practice PAC ID
3678545431
Professional Enrollment ID
I20250513002299
Address ID
CA900950001LO300XXPLZX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness85
Years active:6State licenses:1Digital endpointsOther names

1,307 UROLOGY in CA

Provider Addresses for LEVI CHARLES HOLLAND

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 1260 15TH ST STE 1200

    SANTA MONICA, CA 904041147

    Phone: (310) 794-7700

    Type: Location

  • 5323 HARRY HINES BLVD

    DALLAS, TX 753907201

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250513002299IUrologyCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90045)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3678545431View full group profile
NameSpecialtyState
Physician AssistantCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA
U R O L O G YCA

Reviews

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Frequently asked questions

Can I cross-check LEVI CHARLES HOLLAND using NPI 1336776541?
NPI 1336776541 belongs to LEVI CHARLES HOLLAND; compare other details if you need extra assurance.
Is LEVI CHARLES HOLLAND shown as active in public data?
Registry records indicate LEVI CHARLES HOLLAND maintains an active NPI.
What expertise is attributed to LEVI CHARLES HOLLAND?
LEVI CHARLES HOLLAND's specialty line reads Urology Physician. Clinical services aligned with this taxonomy classification.
Is LEVI CHARLES HOLLAND associated with Los Angeles?
Public fields place LEVI CHARLES HOLLAND around Los Angeles, California. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for LEVI CHARLES HOLLAND is noted as March 26, 2020 where the registry provides it.

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