Ray Joanne Leyva, RCFE ADMINISTRATOR

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

361800212 Issued in CA

Practice address

15617 Red Oak Way
Victorville, CA 92394-3228

Phone

(760) 241-9075

Fax

(760) 241-9075

NPI assigned

Dec 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1083185474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15617 RED OAK WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943228",
            "telephone_number": "760-241-9075",
            "fax_number": "760-241-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15617 RED OAK WAY",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923943228",
            "telephone_number": "760-241-9075",
            "fax_number": "760-241-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEYVA",
        "first_name": "RAY JOANNE",
        "credential": "RCFE ADMINISTRATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "CA",
            "license": "361800212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dedra Y Lewis, COTA/L
• Edmund W Lewis
• Kelly Lewis, NP-C
• Latoya Lewis
• Monique Ellen Leyva-Olivera, LPT
• Siyao Li
• Jack Yanzhen Liang, M.D.
• Liberty Village Dental Care
• Joseph Licon
• Life Skills Awareness

• Custodial Care Facility in Victorville, CA
• Providers in Victorville, CA by specialty
• Custodial Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.