Ladera Medical Practice Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

LADERA MEDICAL PRACTICE INC

Practice address

5141 Crenshaw Blvd
Los Angeles, CA 90043-1853

Phone

(323) 545-9288

Fax

(323) 545-9287

NPI assigned

Apr 23, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Deedee Weston

Title

Director

Phone

(323) 545-9288

Specialties & licenses 3

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lucille Ridgill, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Rancho Palos Verdes, CA
  • NPI 1306862701
  NPD (past)

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238112000000",
    "number": "1689849481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431853",
            "telephone_number": "323-545-9288",
            "fax_number": "323-545-9287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5141 CRENSHAW BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900431853",
            "telephone_number": "323-545-9288",
            "fax_number": "323-545-9287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LADERA MEDICAL PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-23",
        "last_updated": "2009-03-27",
        "status": "A",
        "authorized_official_last_name": "WESTON",
        "authorized_official_first_name": "DEEDEE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "323-545-9288",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A630290",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G459770",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laddaran Dental Corp
• Laddaran Medical Group
• Benito P Laddaran, M.D.
• Leslie T. Laddaran, DDS
• Lori Alexis Laddaran
• Ladera Medical Supply,Inc
• Jodi R Ladge, PA-C
• Seyedeh Sanam Ladi Seyedian, MD
• Valour Ladomi
• Amos Kelly Ladouceur, M.D.

• Internal Medicine Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2009; 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.