Individual provider Active NPI

Isaiah Nigel Ledonne

  • Case Manager/Care Coordinator
  • Chula Vista, CA
National Provider Identifier
1164074910
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
746 Ada St Ste 106
Chula Vista, CA 91911-2676
Phone
(619) 628-2444
Fax
(619) 628-2445
NPI assigned
Jul 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

746 Ada St Ste 106
Chula Vista, CA 91911-2676

Mailing address

746 Ada St Ste 106
Chula Vista, CA 91911-2676
Phone (619) 628-2444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1164074910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "746 ADA ST STE 106",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112676",
            "telephone_number": "619-628-2444",
            "fax_number": "619-628-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 ADA ST STE 106",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112676",
            "telephone_number": "619-628-2444",
            "fax_number": "619-628-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDONNE",
        "first_name": "ISAIAH",
        "middle_name": "NIGEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.