Individual provider Active NPI

Oscar Ledezma

  • Physical Therapist
  • Orange, CA
National Provider Identifier
1922745314
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
2229 E Taft Ave
Orange, CA 92867-4027
Phone
(714) 746-9836
NPI assigned
May 17, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

2229 E Taft Ave
Orange, CA 92867-4027

Mailing address

2229 E Taft Ave
Orange, CA 92867-4027
Phone (714) 746-9836

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221101002236 CA Practitioner - Physical Therapist in Private Practice 7113394354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ando and Aston Physical Therapy IncGroup PAC ID 0941191050, 5 clinicians

Practice addresses (Care Compare)

1111 W Town and Country Rd
Suite 1
Orange, CA 92868-4635
Phone (714) 997-5518

6200 E Canyon Rim Rd
113E
Anaheim, CA 92807-4317
Phone (714) 974-0330

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace L Walker Physical Therapy a Professional Corporation Physical Therapist CurrentSince Aug 19, 2022 Accepting new patients
Ando & Aston Physical Therapy, Inc. Physical Therapist CurrentSince Aug 15, 2022 Accepting new patients
Shoreline Physical Therapy, Inc. CurrentSince Aug 19, 2022 Accepting new patients
DPT Holdings PLLC Physical Therapist CurrentSince Apr 19, 2026 Accepting new patients

Locations

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

6200 E Canyon Rim Rd
#113E
Anaheim, CA 92807
Phone (714) 974-0330

6200 E Canyon Rim Rd
Ste E113
Anaheim, CA 92807

6200 E Canyon Rim Rd
#113E113E
Anaheim, CA 92807
Phone (714) 974-0330

9036 Adams Ave
Huntington Beach, CA 92646
Phone (714) 716-9373

1111 W Town and Country Rd
Ste 1
Orange, CA 92868
Phone (714) 997-5518

2720 Western Center Blvd
Ste 312
Fort Worth, TX 76131
Phone (817) 847-0200

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": "1652745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1922745314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2229 E TAFT AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674027",
            "telephone_number": "714-746-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2229 E TAFT AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928674027",
            "telephone_number": "714-746-9836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDEZMA",
        "first_name": "OSCAR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-17",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.