Active NPI
Thomas Ludema MD
- Specialist
- Aliso Viejo, CA
National Provider Identifier
1629153143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- THOMAS LUDEMA MD
- Practice address
- 24502 Pacific Park Dr Ste 102
Aliso Viejo, CA 92656-3033 - Phone
- (949) 365-8877
- Fax
- (949) 365-8878
- NPI assigned
- Oct 25, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Ludema
- Title
- Owner
- Phone
- (949) 365-8877
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
24502 Pacific Park Dr Ste 102
Aliso Viejo, CA 92656-3033
Mailing address
27800 Medical Center Rd
Suite 263
Mission Viejo, CA 92691-6447
Phone (949) 365-8877
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G531350 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15 Mareblu
Ste 250
Aliso Viejo, CA 92656
Phone (949) 365-8877
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774915200000",
"number": "1629153143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27800 MEDICAL CENTER RD",
"address_2": "SUITE 263",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926916447",
"telephone_number": "949-365-8877",
"fax_number": "949-365-8878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24502 PACIFIC PARK DR STE 102",
"city": "ALISO VIEJO",
"state": "CA",
"postal_code": "926563033",
"telephone_number": "949-365-8877",
"fax_number": "949-365-8878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THOMAS LUDEMA MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-25",
"last_updated": "2026-03-31",
"certification_date": "2026-03-31",
"status": "A",
"authorized_official_last_name": "LUDEMA",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "949-365-8877"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G531350",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Aliso Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.