Individual provider Active NPI

Aurora Casas Ledezma, PA

  • Physician Assistant
  • Upland, CA
National Provider Identifier
1740659994
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1282 W Arrow Hwy # 100
Upland, CA 91786-5040
Phone
(909) 931-4034
NPI assigned
Sep 17, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X CA Primary

Addresses

Primary practice location

1282 W Arrow Hwy # 100
Upland, CA 91786-5040

Mailing address

PO Box 1481
Rialto, CA 92377

Other practice location 1

4646 Brockton Ave
Riverside, CA 92506-0102
Phone (951) 774-2755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191113002370 CA Practitioner - Physician Assistant 6800228834 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy, Sinus & Asthma Consultants Inc. CurrentSince Sep 1, 2025 Accepting new patients
Choice Physicians Network, Inc. Past Accepting new patients
Luther Mangoba, MD Inc. PastSince Sep 1, 2025 Accepting new patients

Locations

6377 Riverside Ave
Ste 170
Riverside, CA 92506
Phone (909) 558-2154

6377 Riverside Ave
Ste B101
Riverside, CA 92506
Phone (951) 686-0004

1282 W Arrow Hwy
Ste 100
Upland, CA 91786
Phone (909) 931-4034

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://api.platform.athenahealth.com/12935/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1740659994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1481",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "92377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1282 W ARROW HWY # 100",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865040",
            "telephone_number": "909-931-4034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 Brockton Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925060102",
            "country_code": "US",
            "telephone_number": "951-774-2755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEDEZMA",
        "first_name": "AURORA",
        "middle_name": "CASAS",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-17",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.