MEDICARE: LEDESMA GROUP, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	12094TPL	CA

General Provider Information

NPI Number	:	1568539534
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEDESMA GROUP, INC.

Provider Business Mailing Address
First Line	:	4124 N SIERRA WAY
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-3825
Country	:	US
Telephone Number	:	909-883-4900
Fax Number	:	909-883-4011

Provider Business Practice Location Address
First Line	:	4124 N SIERRA WAY
Second Line	:
City	:	SAN BERNARDINO
State	:	CA
Zip	:	92407-3825
Country	:	US
Telephone Number	:	909-883-4900
Fax Number	:	909-883-4011

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. HARVEY LEDESMA
Credential	:	O.D.
Telephone Number	:	909-883-4900

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1881914000 — GRUPO MEDICO POLICLINICA SAN PEDRO MEDICARE ADVANTAGE
Practice Location Address:

211 CALLE MORSE
ARROYO, PR
00714-2350

Practice Phone: 787-839-3980
Practice Fax: 787-271-2515

1467421990 — HARVEY DENNIS LEDESMA O.D.
Practice Location Address:

4124 N SIERRA WAY
SAN BERNARDINO, CA
92407-3825

Practice Phone: 909-883-4900
Practice Fax:

1720225774 — VITSHANTA INC
Practice Location Address:

4108 N SIERRA WAY
SAN BERNARDINO, CA
92407-3825

Practice Phone: 909-475-4250
Practice Fax: 909-882-4000

1417940685 — GORDON CRAIG PRESTON M.D.
Practice Location Address:

1100 SANCHEZ ST
SAN FRANCISCO, CA
94114-3825

Practice Phone: 415-479-2924
Practice Fax: 949-757-2538

1346236445 — DR. MARK ALLEN KAUPP PSY.D.
Practice Location Address:

2835 CAMINO DEL RIO S , SUITE 120-C
SAN DIEGO, CA
92108-3825

Practice Phone: 619-665-5590
Practice Fax: 619-297-4496

1497764625 — MS. MARGARET ANNE HOLLINS L.M.F.T.
Practice Location Address:

2835 CAMINO DEL RIO S , SUITE 120 - C
SAN DIEGO, CA
92108-3825

Practice Phone: 619-280-6032
Practice Fax: 619-280-6032

Directions to “LEDESMA GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.