Latanya T Carey-Ledford – Internal Medicine Physician

Key facts

NPI: 1568413755
Entity type: Individual (NPI type 1)
Primary specialty: Internal Medicine Physician 207R00000X
License: MD2005-0826 (NM)
Practice address: 1600 E 32ND St
Silver City, NM 88061-7287
Phone: (505) 538-2981
Fax: (505) 388-3373
NPI assigned: May 13, 2006
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Community Health Partners Multi-Specialty Clinic/Center · Fresno, CA · NPI 1952912420

Medicare reassignment NPD CA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in CA
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20081210000670	CA	Practitioner - Internal Medicine	5092738740	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Doctor of Medicine

State licenses

License	State	Type	Specialty
MD2005-0826	NM	MD	Internal Medicine Physician

Practice roles

Organization	Specialty	Status	New patients
Community Health Partners		Current since Mar 1, 2022	Accepting new patients

Locations

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

15 E Audubon Dr
Fresno, CA 93720
Phone (559) 433-8000

2823 Fresno St
Fresno, CA 93721
Phone (559) 459-3965

45 E River Park Pl W
Ste 104
Fresno, CA 93720
Phone (559) 320-0550

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

805 W Acequia Ave
Ste 2D
Visalia, CA 93291
Phone (559) 622-8687

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician	207R00000X	MD2005-0826	NM	Yes

Addresses

Primary practice location

1600 E 32ND St
Silver City, NM 88061-7287

Mailing address

1600 E 32ND St
Silver City, NM 88061-7287
Phone (505) 538-2981

Other identifiers

Identifier	Type	State	Issuer
47761	Medicaid	NM

Other providers in Silver City, NM

Pavel Capek, MD
Arlene G Carbajal, LMSW
Mary C Carder, LMFT LADAC
Amanda Cardoza
Maria E Cardoza, MASSAGE THERAPIST
Courtney Marie Carillo, SUBSTANCE ABUSE ASSO
Jesus Roberto Carreon, M. D.
Carrie L Hinds LLC
Jazmin Carrillo
Carter Chiropractic Center, PA

All providers in Silver City, NM · Internal Medicine Physician in New Mexico

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.