Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Benjamin Adam Van Pratt Levin, MD

Individual provider Family Medicine Physician · NPI 1619438330

Benjamin Adam Van Pratt Levin, MD is a Family Practice in San Diego, California. Qualified in 2019, 7 years ago. Practices with Imperial Beach Community Clinic, a 21-clinician group and accepts Medicare assignment. Licensed in California and Washington.

Years since qualifying
7
Licensed in
CA, WA
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1016 Outer Rd
San Diego, CA 92154-1351
Phone: (619) 429-3733
Fax: (855) 576-3613
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A177088 (CA)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD61272871 (WA)

Record details

NPI number1619438330
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 26, 2019
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Imperial Beach Community Clinic — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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