JEREMY ETHAN LEVENSON (M.D.) – Ophthalmology Physician, NPI 1659304590

JEREMY ETHAN LEVENSON (M.D.) is a healthcare provider. based in Santa monica, California. specializing in Ophthalmology Physician. They hold the professional credentials M.D.. They hold a License No. A22502 (CA). The NPI Number for JEREMY ETHAN LEVENSON (M.D.) is 1659304590

Main info

Male
Sole Proprietor
60 Years Of Experience
Accepts Medicare Assignment
Name
JEREMY ETHAN LEVENSON (M.D.)
NPI
1659304590
Phone
(310) 829-8701
Address
2125 ARIZONA AVE
Enumeration Date
7 July 2006
Last Update Date
16 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
3105827450
Graduation Year
1966 (60 years ago)
PAC ID
3274591607
Group Practice PAC ID
0840548624
Professional Enrollment ID
I20041230000557

Contacts

Secure Messaging
jlevenson872245@oc.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

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Provider Addresses for JEREMY ETHAN LEVENSON (M.D.)

  • 2125, Arizona Avenue, Santa Monica, Los Angeles County, California, 90404, United States

    SANTA MONICA, CA 904041337

    Phone: (310) 829-8701

    Fax: (310) 315-4062

    Type: Location

  • 6654, Kentwood Bluffs Drive, Los Angeles, Los Angeles County, California, 90045, United States

    LOS ANGELES, CA 900451259

    Phone: (310) 216-4476

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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 90404)

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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: 0840548624View full group profile
NameSpecialtyState
-CA
Emergency MedicineCA
Internal MedicineCA
Nurse PractitionerCA
Family PracticeCA
Emergency MedicineCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantTX
-CA
-CA

Reviews

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Frequently asked questions

What NPI should I save for JEREMY ETHAN LEVENSON (M.D.)?
Save NPI 1659304590 if you need a stable reference for JEREMY ETHAN LEVENSON (M.D.).
Is JEREMY ETHAN LEVENSON (M.D.) active in the national directory?
JEREMY ETHAN LEVENSON (M.D.)'s public NPI profile is in an active state.
What field does JEREMY ETHAN LEVENSON (M.D.) work in?
You can think of JEREMY ETHAN LEVENSON (M.D.) as practicing within Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
What location shows for JEREMY ETHAN LEVENSON (M.D.)?
We surface Santa Monica, California for JEREMY ETHAN LEVENSON (M.D.) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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