Active NPI
Jennifer Ledon
- Dermatology Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- A155843
- Practice address
- 1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116 - Phone
- (714) 526-7546
- Fax
- (714) 526-7547
- NPI assigned
- May 5, 2014
- Last updated
- Aug 13, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Dermatology Physician | 207N00000X | A155843 | CA | Primary |
Addresses
Primary practice location
1440 N Harbor Blvd Ste 300
Fullerton, CA 92835-4116
Mailing address
2285 Corporate Cir Ste 200
Henderson, NV 89074-7759
Phone (702) 360-2763
Other practice location 1
1000 W. Carson Street, Box 400
Torrance, CA 90509-2910
Phone (310) 222-2401
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- University of Miami, LM Miller School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7004
1440 N Harbor Blvd
Suite 300
Fullerton, CA 92835-4116
Phone (714) 526-7546
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.17 of 100
- Quality
- 74.51
- Promoting interoperability
- 92
- Improvement activities
- 40
- Cost
- 82.72
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 96 |
| Removal of skin lesions | 868 |
| Removal of skin cancer | 251 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 525 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A155843 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Julie a Hodge MD a California Professional Medical Corporation | Current | Accepting new patients | |
| Uci Department of Dermatology | Dermatology | Current | Accepting new patients |
| J Robert West, M.D., Inc | Dermatology | Current | Accepting new patients |
| Lorrie J Klein MD Apc | Dermatology | Past | Accepting new patients |
| J. Robert West, M.D., Inc | Dermatology | Past | Accepting new patients |
| Saddleback Memorial Medical Center | Past | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients | |
| Anaheim Memorial Medical Center | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Los Alamitos Medical Center, Inc. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Regents of the University of California | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| Silverberg MD a Professional Corporation | Past | Accepting new patients |
Locations
1440 N Harbor Blvd
Ste 300
Fullerton, CA 92835
Phone (714) 526-7546
30201 Golden Lantern
Ste B
Laguna Niguel, CA 92677
Phone (949) 363-1788
4281 Katella Ave
Ste 220
Los Alamitos, CA 90720
Phone (562) 252-0173
1401 Avocado Ave
Ste 703
Newport Beach, CA 92660
Phone (949) 751-6683
1441 Avocado Ave
Ste 806
Newport Beach, CA 92660
Phone (949) 718-1222
400 Newport Center Dr
Ste 702
Newport Beach, CA 92660
Phone (949) 644-0101
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 23
Orange, CA 92868
Phone (714) 456-5889
101 The City Dr S
Bldg 29
Orange, CA 92868
Phone (714) 456-7005
2285 Corporate Cir
Ste 200
Henderson, NV 89074
Phone (702) 360-2763
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Southern California Dermatology
- Dermatology Physician
- Newport Beach, CA
- NPI 1932154788
-
- Dermatology Physician
- Orange, CA
- NPI 1518916527
-
- Dermatopathology Physician
- Fullerton, CA
- NPI 1083801393
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- Dermatology Physician
- Laguna Niguel, CA
- NPI 1083631808
-
dba Los Alamitos Medical Center
- Psychiatric Hospital Unit
- Los Alamitos, CA
- NPI 1497780084
-
dba UCI Primary Care Medical Group
- Family Medicine Physician
- Orange, CA
- NPI 1679521850
-
- Rehabilitation Hospital Unit
- Laguna Hills, CA
- NPI 1114967114
-
dba Silverberg Surgical and Medical Group
- Specialist
- Newport Beach, CA
- NPI 1811085608
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba UCI Infusion Center
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
dba UCI Health - Irvine MC Outpatient Pharmacy
- Pharmacy
- Irvine, CA
- NPI 1669344339
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Irvine - Cac Urgent Care
- Urgent Care Clinic/Center
- Irvine, CA
- NPI 1518739309
Hospital
-
dba Uci Health
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1083024681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2285 CORPORATE CIR STE 200",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747759",
"telephone_number": "702-360-2763",
"fax_number": "949-783-2880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1440 N HARBOR BLVD STE 300",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928354116",
"telephone_number": "714-526-7546",
"fax_number": "714-526-7547"
}
],
"practiceLocations": [
{
"address_1": "1000 W. Carson Street, Box 400",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905092910",
"country_code": "US",
"telephone_number": "310-222-2401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEDON",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-05",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A155843",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.