Active NPI
Jodiann Ledford, M.D.
- Pediatrics Physician
- Barstow, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A120777
- Practice address
- 750 E Main St
Barstow, CA 92311-2354 - Phone
- (442) 347-2800
- Fax
- (858) 634-6983
- NPI assigned
- Apr 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD20058 | ME | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | A120777 | CA | Primary |
Addresses
Primary practice location
750 E Main St
Barstow, CA 92311-2354
Mailing address
750 E Main St
Barstow, CA 92311-2354
Phone (442) 347-2800
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A120777 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dap Health, Inc. | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Pediatrics | Current | Accepting new patients |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Sac Health System | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients | |
| Calais Community Hospital | Past | Accepting new patients |
Locations
25845 Barton Rd
Ste F
Loma Linda, CA 92354
Phone (909) 558-2828
11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016
11370 Anderson St
Ste 2600
Loma Linda, CA 92354
Phone (909) 558-2890
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
1455 3rd Ave
Sn Bernrdno, CA 92408
Phone (909) 382-7146
Interoperability endpoints
- jledford8607@direct.llu.edu
- jledfo03@yourcarecommunity.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1881910149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112354",
"telephone_number": "442-347-2800",
"fax_number": "858-634-6983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923112354",
"telephone_number": "442-347-2800",
"fax_number": "858-634-6983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDFORD",
"first_name": "JODIANN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-12",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD20058",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A120777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.