Individual provider · Type 1 NPI

Madison Carly Levine, NP

Nurse Practitioner · San Juan Capistrano, CA

NPI number 1891382198 Active · reactivated Oct 29, 2025

Practice location

30300 Camino Capistrano
San Juan Capistrano, CA 92675-1304

Call (949) 240-2272 Map

Mailing address

811 Buena Vis Apt 6
San Clemente, CA 92672-5067

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	95037704 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1891382198

Madison Carly Levine, NP's National Provider Identifier is 1891382198, issued on Dec 21, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Nov 25, 2025.