Rafael Manzon Ledesma II

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

99972D2 Issued in CA

Practice address

22772 Centre Dr Ste 220
Lake Forest, CA 92630-6303

Phone

(949) 446-9800

Fax

(949) 446-9735

NPI assigned

Jul 14, 2020

Sex

Male

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

Practice roles

Locations

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.

• Oc Senior, LLC

  dba oc senior limo

  • Non-emergency Medical Transport (VAN)
  • Lake Forest, CA
  • NPI 1669060653
  NPD Authorized official

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1497363659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22772 CENTRE DR STE 220",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306303",
            "telephone_number": "949-446-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22772 CENTRE DR STE 220",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926306303",
            "telephone_number": "949-446-9800",
            "fax_number": "949-446-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDESMA",
        "first_name": "RAFAEL",
        "middle_name": "MANZON",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "CA",
            "license": "99972D2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Yrigollen Lasher
• Sahar E. Lashin, M.D.
• Dean A Le, M.D.
• Naomi Lebaron
• David M Lechuga, PHD
• Samantha Ledezma
• Brianna Lee-Miller
• Anne H. Lee, MS, RD, MA, LMFT
• Elle Lee, LCSW
• Ha N Lee, DDS

• Non-emergency Medical Transport (VAN) in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Non-emergency Medical Transport (VAN) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.