Active NPI
Holly Maureen Ledesma, OTR
- Mental Health Occupational Therapist
- Hawthorne, CA
National Provider Identifier
1992850523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Occupational Therapist
- Practice address
- 2311 W El Segundo Blvd
Hawthorne, CA 90250-3315 - Phone
- (323) 241-6734
- NPI assigned
- Jan 24, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Occupational Therapist | 225XM0800X | Primary | ||
| Occupational Therapist | 225X00000X | OT6029 | CA |
Addresses
Primary practice location
2311 W El Segundo Blvd
Hawthorne, CA 90250-3315
Mailing address
2311 W El Segundo Blvd
Hawthorne, CA 90250-3315
Phone (323) 241-6734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT6029 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615420800000",
"number": "1992850523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2311 W EL SEGUNDO BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503315",
"telephone_number": "323-241-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2311 W EL SEGUNDO BLVD",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902503315",
"telephone_number": "323-241-6734"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEDESMA",
"first_name": "HOLLY",
"middle_name": "MAUREEN",
"name_prefix": "Ms.",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2021-03-11",
"certification_date": "2021-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "OT6029",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.