Individual provider Active NPI

Mark-Neil Ledesma, M.D.

  • Anesthesiology Physician
  • Temecula, CA
National Provider Identifier
1003174897
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A132913 Issued in CA
Practice address
31700 Temecula Pkwy
Temecula, CA 92592-5896
Phone
(801) 432-2600
NPI assigned
Apr 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Anesthesiology Physician 207L00000X A132913 CA Primary

Addresses

Primary practice location

31700 Temecula Pkwy
Temecula, CA 92592-5896

Mailing address

40136 Village Rd Apt 1824
Temecula, CA 92591-3537
Phone (951) 764-2928

Other practice location 1

300 2nd Ave
Long Branch, NJ 07740-6303
Phone (951) 764-2928

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171117001994 CA Practitioner - Anesthesiology 8820354285 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A132913CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rancho Springs Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Temecula Surgery Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Inland Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients
Orion Anesthesia Consultants Inc Anesthesiology CurrentSince Jul 1, 2022 Accepting new patients
Temecula Valley Anesthesia Partners, Inc Anesthesiology CurrentSince Mar 1, 2024 Accepting new patients

Locations

28062 Baxter Rd
Murrieta, CA 92563
Phone (951) 290-4000

25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000

25495 Medical Center Dr
Ste 101
Murrieta, CA 92562
Phone (951) 200-7777

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

8945 Magnolia Ave
Ste 200
Riverside, CA 92503
Phone (951) 643-4961

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569456000000",
    "number": "1003174897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40136 VILLAGE RD APT 1824",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925913537",
            "telephone_number": "951-764-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31700 TEMECULA PKWY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925925896",
            "telephone_number": "801-432-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Long Branch",
            "state": "NJ",
            "postal_code": "077406303",
            "country_code": "US",
            "telephone_number": "951-764-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "MARK-NEIL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2019-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A132913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.