Individual provider Active NPI

Jennifer Ledon

  • Dermatology Physician
  • Fullerton, CA
National Provider Identifier
1083024681
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A155843 Issued in CA
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006001381 CA Practitioner - Dermatology 4789918707 Reassigns benefits to 2 organizations

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
Uci Department of DermatologyGroup PAC ID 7113920992, 38 clinicians
J Robert West MD IncGroup PAC ID 8729990973, 141 clinicians

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 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.17 of 100Reported as group
Quality
74.51
Promoting interoperability
92
Improvement activities
40
Cost
82.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision96
Removal of skin lesions868
Removal of skin cancer251
Removal of nail tissue1-10
Skin biopsy525

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155843CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Julie a Hodge MD a California Professional Medical Corporation CurrentSince Aug 23, 2020 Accepting new patients
Uci Department of Dermatology Dermatology CurrentSince Jun 8, 2021 Accepting new patients
J Robert West, M.D., Inc Dermatology CurrentSince Sep 1, 2020 Accepting new patients
Lorrie J Klein MD Apc Dermatology PastSince Oct 1, 2003 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 PastSince Sep 28, 2025 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 PastSince Jun 21, 2009 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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.